Drug induced liver injury physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===General Appearance=== | ===General Appearance=== | ||
The general appearance of the patient will depend on the severity of the condition | The general appearance of the patient will depend on the severity of the condition. | ||
===Vital Signs=== | ===Vital Signs=== | ||
The patient may be febrile. | The patient may be febrile. | ||
Revision as of 22:13, 10 August 2016
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Differentiating Drug Induced Liver Injury from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Rachita Navara, M.D. [2]
Overview
Patients with drug induced liver injury usually appear normal on physical exam, unless they are presenting in acute liver failure.[1]
Physical Examination
General Appearance
The general appearance of the patient will depend on the severity of the condition.
Vital Signs
The patient may be febrile.
Skin
The skin may be jaundiced. THere may also be excoriations from pruritis due to drug induced cholestatic injury.
Abdomen
There may be right upper quadrant tenderness. There may be ascites in cases of chronic drug induced liver injury.
Extremities
There may be stigmata of chronic drug induced liver injury including cachexia, spider angiomata and palmar erythema.
References
- ↑ Davern TJ (2012). "Drug-induced liver disease". Clin Liver Dis. 16 (2): 231–45. doi:10.1016/j.cld.2012.03.002. PMID 22541696.