Autoimmune hepatitis physical examination: Difference between revisions
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{{Autoimmune hepatitis}} | {{Autoimmune hepatitis}} | ||
{{CMG}}; {{AE}}:{{MKK}} | {{CMG}}; {{AE}}:{{MKK}} | ||
==Overview== | ==Overview== | ||
Patients with autoimmune hepatitis usually appear normal. Physical examination of patients with autoimmune hepatitis are [[jaundice]], [[hepatomegaly]], and spider angiomata | Patients with autoimmune hepatitis usually appear normal. Physical examination of patients with autoimmune hepatitis are [[jaundice]], [[hepatomegaly]], [[splenomegaly]], [[hepatic encephalopathy]] and spider angiomata. | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of Autoimmune hepatitis patient who progresses to cirrhosis:<ref name="pmid16394302">{{cite journal |vauthors=Krawitt EL |title=Autoimmune hepatitis |journal=N. Engl. J. Med. |volume=354 |issue=1 |pages=54–66 |year=2006 |pmid=16394302 |doi=10.1056/NEJMra050408 |url=}}</ref> | Physical examination of Autoimmune hepatitis patient who progresses to cirrhosis:<ref name="pmid16394302">{{cite journal |vauthors=Krawitt EL |title=Autoimmune hepatitis |journal=N. Engl. J. Med. |volume=354 |issue=1 |pages=54–66 |year=2006 |pmid=16394302 |doi=10.1056/NEJMra050408 |url=}}</ref> | ||
| Line 11: | Line 9: | ||
*[[Hepatomegaly]] | *[[Hepatomegaly]] | ||
*Spider angiomata | *Spider angiomata | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with Autoimmune hepatitis usually appear normal initially. If it progresses then patient appear weak due to constitutional symptoms such as [[weight loss]], [[anorexia]], and [[muscle atrophy]] | *Patients with Autoimmune hepatitis usually appear normal initially. If it progresses then patient appear weak due to constitutional symptoms such as [[weight loss]], [[anorexia]], and [[muscle atrophy]] | ||
| Line 17: | Line 14: | ||
*[[Abdominal distension]] may also be present due to [[ascites]] | *[[Abdominal distension]] may also be present due to [[ascites]] | ||
*Normal/low blood pressure with normal pulse pressure | *Normal/low blood pressure with normal pulse pressure | ||
===Skin=== | ===Skin=== | ||
*[[Jaundice]] | *[[Jaundice]] | ||
| Line 35: | Line 31: | ||
*[[splenomegaly]] | *[[splenomegaly]] | ||
*[[Caput medusae]] | *[[Caput medusae]] | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*Hepatic encephalopathy patient presents with: | *[[Hepatic encephalopathy]] patient presents with: | ||
**Altered mental status | **Altered mental status | ||
**Confusion | **[[Confusion]] | ||
**Coma | **[[Coma]] | ||
==References== | ==References== | ||
Revision as of 22:09, 28 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: :Manpreet Kaur, MD [2]
Overview
Patients with autoimmune hepatitis usually appear normal. Physical examination of patients with autoimmune hepatitis are jaundice, hepatomegaly, splenomegaly, hepatic encephalopathy and spider angiomata.
Physical Examination
Physical examination of Autoimmune hepatitis patient who progresses to cirrhosis:[1]
- Jaundice
- Hepatomegaly
- Spider angiomata
Appearance of the Patient
- Patients with Autoimmune hepatitis usually appear normal initially. If it progresses then patient appear weak due to constitutional symptoms such as weight loss, anorexia, and muscle atrophy
- Yellowish discoloration of the skin
- Abdominal distension may also be present due to ascites
- Normal/low blood pressure with normal pulse pressure
Skin
![Spider angiomata[3]](/index.php/File:Spider_nevus.jpg)
![Sclerotic jaundice in a female [4]](/index.php/File:Cholangitis_Jaundice.jpg)
HEENT
Abdomen
Neuromuscular
- Hepatic encephalopathy patient presents with:
References
- ↑ Krawitt EL (2006). "Autoimmune hepatitis". N. Engl. J. Med. 354 (1): 54–66. doi:10.1056/NEJMra050408. PMID 16394302.
- ↑ Li CP, Lee FY, Hwang SJ; et al. (1999). "Spider angiomas in patients with liver cirrhosis: role of alcoholism and impaired liver function". Scand. J. Gastroenterol. 34 (5): 520–3. PMID 10423070.
- ↑ https://commons.wikimedia.org/wiki/File:Spider_nevus.jpg#/media/
- ↑ By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793
