Hepatitis A physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Physical Examination

Appearance of the Patient

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  The viral disease Hepatitis A is manifested here as icterus, or jaundice of the conjunctivae and facial skin. Adapted from Public Health Image Library (PHIL), Centers for Disease Control and Prevention.

Vital Signs

• Patients may have fever with temperatures up to 40°C

Skin

• Jaundice is often present
• Rash may be present
• Petechiae may be present

Eyes

• Scleral icterus is often present

Neck

Cervical lymphadenopathy may be present

Abdomen

• Hepatomegaly with right upper quadrant tenderness is often present
• Splenomegaly may be present
• Ascites may be present in severe stages of disease

Neurologic

• Encephalopathy may be present