Amoebic liver abscess physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Common physical examination findings associated with amoebic liver abscess may include:<ref name=amoebiasis>https://medlineplus.gov/ency/article/000211.htm Accessed on february 8, 2017</ref><ref name="pmid10459092">{{cite journal| author=Hoffner RJ, Kilaghbian T, Esekogwu VI, Henderson SO| title=Common presentations of amebic liver abscess. | journal=Ann Emerg Med | year= 1999 | volume= 34 | issue= 3 | pages= 351-5 | pmid=10459092 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10459092 }} </ref> | Common physical examination findings associated with amoebic liver abscess may include:<ref name=amoebiasis>https://medlineplus.gov/ency/article/000211.htm Accessed on february 8, 2017</ref><ref name="pmid10459092">{{cite journal| author=Hoffner RJ, Kilaghbian T, Esekogwu VI, Henderson SO| title=Common presentations of amebic liver abscess. | journal=Ann Emerg Med | year= 1999 | volume= 34 | issue= 3 | pages= 351-5 | pmid=10459092 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10459092 }} </ref><ref name="pmid12149132">{{cite journal| author=Wiwanitkit V| title=A note on clinical presentations of amebic liver abscess: an overview from 62 Thai patients. | journal=BMC Fam Pract | year= 2002 | volume= 3 | issue= | pages= 13 | pmid=12149132 | doi= | pmc=122079 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12149132 }} </ref> | ||
'''Appearance of patient''' | '''Appearance of patient''' | ||
Revision as of 15:46, 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
Common physical examination findings associated with amoebic liver abscess may include:[1][2][3]
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
Heart
- Chest tenderness on palpation
- Audible pericardial friction rub (sign associated with high mortality)
- S1 and S2 are normal
Abdomen
- Hepatomegaly with point tenderness over the liver, in the intercostal spaces, or below the ribs is a typical finding.[4][5]
- Epigastric mass if left lobe is involved
- Abdominal guarding or rebound tenderness
- Abdominal distension in advanced cases
- Bowel sounds are absent
Extremities
Bilateral pedal edema in advanced liver disease
References
- ↑ https://medlineplus.gov/ency/article/000211.htm Accessed on february 8, 2017
- ↑ Hoffner RJ, Kilaghbian T, Esekogwu VI, Henderson SO (1999). "Common presentations of amebic liver abscess". Ann Emerg Med. 34 (3): 351–5. PMID 10459092.
- ↑ Wiwanitkit V (2002). "A note on clinical presentations of amebic liver abscess: an overview from 62 Thai patients". BMC Fam Pract. 3: 13. PMC 122079. PMID 12149132.
- ↑ 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.