Wilson's disease physical examination: Difference between revisions
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{{CMG}}; {{AE}} {{AEL}} | {{CMG}}; {{AE}} {{AEL}} | ||
==Overview== | ==Overview== | ||
Patients with Wilson's disease usually appear tired. Physical examination of patients with Wilson's disease is usually remarkable for jaundice and easy bruising in the skin. Physical examination also is remarkable for Kayser Fleischer ring in the eyes as a result of the copper accumulation in the cornea. Common physical examination findings in the abdomen include abdominal tenderness , ascites, and spider angiomata. Common neurolopsychiatric signs include seizures, parkinsonism like signs, depression, and anxiety. | |||
==Physical examination== | ==Physical examination== | ||
Revision as of 16:51, 26 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Patients with Wilson's disease usually appear tired. Physical examination of patients with Wilson's disease is usually remarkable for jaundice and easy bruising in the skin. Physical examination also is remarkable for Kayser Fleischer ring in the eyes as a result of the copper accumulation in the cornea. Common physical examination findings in the abdomen include abdominal tenderness , ascites, and spider angiomata. Common neurolopsychiatric signs include seizures, parkinsonism like signs, depression, and anxiety.
Physical examination
Appearance of the patient
- Patients with Wilson's disease mostly appear tired due to the hepatic involvement.
Vitals
- Low blood pressure may be present in shock liver.
- Hypothermia / hyperthermia may be present.
Skin
- Jaundice
- Easy bruising (bleeding tendency)
HEENT
- Icteric sclera
- Kayser Fleischer ring in the eyes
Abdomen
- Abdominal tenderness
- Hepatosplenomegaly
- Ascites
- Spider angiomata (in cases with cirrhosis)
- Esophageal varices
Heart
- Cardiomyopathy
- Cardiac arrhythmia
Neuromuscular
- Parkinsonism like signs such as:
- Bradykinesia
- Cogwheel rigidity
- Lack of balance
- Seizures
- Migrane
- Frontal lobe disorder with the following signs:
- Impaired judgement
- Apathy
- Poor planning
- Psychiatric features such as:
- Depression
- Psychosis
- Anxiety