Hepatitis B physical examination: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 30: | Line 30: | ||
===Neurologic=== | ===Neurologic=== | ||
*[[Asterixis]] | *[[Asterixis]] | ||
*[[Neurologic]] manifestations in cases of HBV progression to [[hepatic encephalopathy]] include a wide spectrum of [[cognitive]] impairment and [[motor system]] abnormalities. | *[[Neurologic]] manifestations in cases of HBV progression to [[hepatic encephalopathy]] include a wide spectrum of [[cognitive]] impairment and [[motor system]] abnormalities.<ref name="pmid25042402">{{cite journal| author=Vilstrup H, Amodio P, Bajaj J, Cordoba J, Ferenci P, Mullen KD et al.| title=Hepatic encephalopathy in chronic liver disease: 2014 Practice Guideline by the American Association for the Study Of Liver Diseases and the European Association for the Study of the Liver. | journal=Hepatology | year= 2014 | volume= 60 | issue= 2 | pages= 715-35 | pmid=25042402 | doi=10.1002/hep.27210 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25042402 }} </ref> | ||
===Extrahepatic Manifestations=== | ===Extrahepatic Manifestations=== | ||
Revision as of 17:49, 1 August 2014
|
Hepatitis B |
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Hepatitis B physical examination On the Web |
|
American Roentgen Ray Society Images of Hepatitis B physical examination |
|
Risk calculators and risk factors for Hepatitis B physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
For the majority of patients with acute and chronic hepatitis B(HBV), the physical examination is normal.[1]
Physical Examination
The aim of the initial physical examination is to observe for the presence of signs of chronic liver disease which include the following:[1]
Skin
HEENT
Abdomen
Extremities
Neurologic
- Asterixis
- Neurologic manifestations in cases of HBV progression to hepatic encephalopathy include a wide spectrum of cognitive impairment and motor system abnormalities.[2]
Extrahepatic Manifestations
- Arthritis-dermatitis syndrome:[3]
- Urticaria
- Petechiae
- Palpable purpura
- Arthralgia
- Arthritis of small joints
- Neuropathy
Spider angiomata in 47-year-old patient had longstanding jaundice and ascites consequent to biopsy-proven hepatic cirrhosis.[4]
References
- ↑ 1.0 1.1 Rotman Y, Brown TA, Hoofnagle JH (2009). "Evaluation of the patient with hepatitis B." Hepatology. 49 (5 Suppl): S22–7. doi:10.1002/hep.22976. PMC 2881483. PMID 19399815.
- ↑ Vilstrup H, Amodio P, Bajaj J, Cordoba J, Ferenci P, Mullen KD; et al. (2014). "Hepatic encephalopathy in chronic liver disease: 2014 Practice Guideline by the American Association for the Study Of Liver Diseases and the European Association for the Study of the Liver". Hepatology. 60 (2): 715–35. doi:10.1002/hep.27210. PMID 25042402.
- ↑ Han SH (2004). "Extrahepatic manifestations of chronic hepatitis B." Clin Liver Dis. 8 (2): 403–18. PMID 15481347.
- ↑ Fred, H.; van Dijk, H. Images of Memorable Cases: Case 114, Connexions Web site. http://cnx.org/content/m14900/1.3/, Feb 16, 2012