Amoebic liver abscess physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
'''Appearance of patient''' | |||
Patients with amoebic liver abscess are sweating and ill appearing. Appears thin due to weight loss in later stages of disease. | |||
'''Vital signs''' | |||
*High grade fever with chills | |||
*Tachycardia | |||
'''Skin''' | |||
Yellowish discoloration of skin (jaundice) | |||
'''HEENT''' | |||
Icteric sclera | |||
'''Lungs''' | |||
Reduced breath sounds or crepitations at right lung base may be heard | |||
'''Abdominal examination''' | '''Abdominal examination''' | ||
Revision as of 15:17, 8 February 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Physical Examination
Appearance of patient
Patients with amoebic liver abscess are sweating and ill appearing. Appears thin due to weight loss in later stages of disease.
Vital signs
- High grade fever with chills
- Tachycardia
Skin
Yellowish discoloration of skin (jaundice)
HEENT
Icteric sclera
Lungs
Reduced breath sounds or crepitations at right lung base may be heard
Abdominal examination
Hepatomegaly with point tenderness over the liver, in the intercostal spaces, or below the ribs is a typical finding.[1][2]
- Abdominal guarding or rebound tenderness
References
- ↑ Adams EB, MacLeod IN (1977). "Invasive amebiasis. II. Amebic liver abscess and its complications". Medicine (Baltimore). 56 (4): 325–34. PMID 875719.
- ↑ Katzenstein D, Rickerson V, Braude A (1982). "New concepts of amebic liver abscess derived from hepatic imaging, serodiagnosis, and hepatic enzymes in 67 consecutive cases in San Diego". Medicine (Baltimore). 61 (4): 237–46. PMID 6806561.