Hepatitis D physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with acute HDV infection may be normal, or shown few findings, such as [[jaundice]], or some degree of impairment of joint movement, due to [[arthralgia]]. Physical | Physical examination of patients with acute HDV infection may be normal, or shown few findings, such as [[jaundice]], or some degree of impairment of joint movement, due to [[arthralgia]]. Physical examination of patients with chronic disease, depending on the stage of the disease, may include: [[jaundice]]; [[palmar erythema]]; [[spider angiomata]];[[gynecomastia]]; [[hepatomegaly]]; [[splenomegaly]]; [[ascites]]; [[peripheral edema]]; and [[asterixis]]. | ||
==Physical Examination== | ==Physical Examination== | ||
Revision as of 04:03, 11 August 2014
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Hepatitis D |
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Diagnosis |
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Treatment |
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Hepatitis D physical examination On the Web |
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American Roentgen Ray Society Images of Hepatitis D physical examination |
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Risk calculators and risk factors for Hepatitis D physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jolanta Marszalek, M.D. [2]; João André Alves Silva, M.D. [3]
Overview
Physical examination of patients with acute HDV infection may be normal, or shown few findings, such as jaundice, or some degree of impairment of joint movement, due to arthralgia. Physical examination of patients with chronic disease, depending on the stage of the disease, may include: jaundice; palmar erythema; spider angiomata;gynecomastia; hepatomegaly; splenomegaly; ascites; peripheral edema; and asterixis.
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
- Hepatomegaly
- Shrunken liver
- Splenomegaly
- Ascites
- Caput medusae
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
Gallery
Refer to the Cirrhosis image gallery for images of the physical findings listed above.
References
- ↑ 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.