Hepatorenal syndrome physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

Skin

• Pallor
• Yellow skin (jaundice)
• Itchy skin
• Spider naevi
• Gynecomastia
• Sores

Abdomen

• Abdominal distension
• Shifting dullness: Dull sound in the belly area when tapped with the tips of the fingers - indicates presence of fluid

Genitals

• Small testicles

Extremities

• Pedal edema
• Involuntary jerky movements

Neurologic

• Abnormal reflexes
• Confusion on neurologic testing