Pyogenic liver abscess physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Common physical examination findings associated with [[pyogenic liver abscess]] may include: | Common physical examination findings associated with [[pyogenic liver abscess]] may include:<ref name="pmid8611070">{{cite journal| author=Chu KM, Fan ST, Lai EC, Lo CM, Wong J| title=Pyogenic liver abscess. An audit of experience over the past decade. | journal=Arch Surg | year= 1996 | volume= 131 | issue= 2 | pages= 148-52 | pmid=8611070 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8611070 }} </ref> | ||
===Appearance of Patient=== | ===Appearance of Patient=== | ||
Revision as of 19:04, 23 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 pyogenic liver abscess may include:[1]
Appearance of Patient
Patients with pyogenic liver abscess appear ill and sweating . Appears thin due to weight loss and confused in later stages of disease.
Vital signs
- High grade fever (>38°C) 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
- Due to dullness on percussion, the movement on right side of the chest and abdomen is restricted (ascites)
- Abdominal distension in advanced cases
- Absent bowel sounds
Extremities
Bilateral pedal edema in advanced liver disease
References
- ↑ Chu KM, Fan ST, Lai EC, Lo CM, Wong J (1996). "Pyogenic liver abscess. An audit of experience over the past decade". Arch Surg. 131 (2): 148–52. PMID 8611070.