Hepatitis E physical examination: Difference between revisions
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====Temperature==== | ====Temperature==== | ||
*A [[fever]] may be present | *A [[fever]] may be present | ||
====Pulse==== | ====Pulse==== | ||
=====Rate===== | =====Rate===== | ||
*[[Tachycardia]] may be present | *[[Tachycardia]] may be present | ||
====Respiratory Rate==== | ====Respiratory Rate==== | ||
*[[Tachypnea]] may be present | *[[Tachypnea]] may be present | ||
===Skin=== | ===Skin=== | ||
*[[Jaundice]] | *[[Jaundice]] may be present | ||
*[[Palmar erythema]] may be present | *[[Palmar erythema]] may be present | ||
*[[Spider angiomata]] may be present | *[[Spider angiomata]] may be present | ||
===Eyes=== | ===Eyes=== | ||
*Icteric [[sclera]] may be present | *Icteric [[sclera]] may be present | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] may be present | *[[Abdominal distention]] may be present | ||
*[[Abdominal tenderness]] may be present | *[[Abdominal tenderness]] may be present, particularly on the right upper quadrant | ||
*[[Hepatomegaly]] may be present | *[[Hepatomegaly]] may be present | ||
*[[Splenomegaly]] may be present | *[[Splenomegaly]] may be present | ||
Line 34: | Line 28: | ||
===Neurologic=== | ===Neurologic=== | ||
*[[Asterixis]] | *[[Asterixis]] | ||
*[[Neurologic]] manifestations in cases of | *[[Neurologic]] manifestations in cases of [[HEV]] 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=== | ||
*Arthritis-dermatitis syndrome:<ref name="pmid15481347">{{cite journal| author=Han SH| title=Extrahepatic manifestations of chronic hepatitis B. | journal=Clin Liver Dis | year= 2004 | volume= 8 | issue= 2 | pages= 403-18 | pmid=15481347 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15481347 }} </ref> | *Arthritis-dermatitis syndrome:<ref name="pmid15481347">{{cite journal| author=Han SH| title=Extrahepatic manifestations of chronic hepatitis B. | journal=Clin Liver Dis | year= 2004 | volume= 8 | issue= 2 | pages= 403-18 | pmid=15481347 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15481347 }} </ref> | ||
:*[[Urticaria]] | |||
:*[[Petechiae]] | |||
:*[[Arthralgia]] | |||
==References== | ==References== |
Revision as of 02:11, 26 August 2014
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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]
Overview
Vitals
Temperature
- A fever may be present
Pulse
Rate
- Tachycardia may be present
Respiratory Rate
- Tachypnea may be present
Skin
- Jaundice may be present
- Palmar erythema may be present
- Spider angiomata may be present
Eyes
- Icteric sclera may be present
Abdomen
- Abdominal distention may be present
- Abdominal tenderness may be present, particularly on the right upper quadrant
- Hepatomegaly may be present
- Splenomegaly may be present
Neurologic
- Asterixis
- Neurologic manifestations in cases of HEV progression to hepatic encephalopathy include a wide spectrum of cognitive impairment and motor system abnormalities.[1]
Extrahepatic Manifestations
- Arthritis-dermatitis syndrome:[2]
References
- ↑ 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.