Wilson's disease physical examination: Difference between revisions
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=== Neuromuscular === | === Neuromuscular === | ||
* Parkinsonism like signs such as: | * Neuropsychiatric manifestations of Wilson's disease include the following: | ||
** Bradykinesia | ** Parkinsonism like signs such as: | ||
** Cogwheel rigidity | *** Bradykinesia | ||
** Lack of balance | *** Cogwheel rigidity | ||
* Seizures | *** Lack of balance | ||
* Migrane | ** Seizures | ||
* Frontal lobe disorder with the following signs: | ** Migrane | ||
** Impaired judgement | ** Frontal lobe disorder with the following signs: | ||
** Apathy | *** Impaired judgement | ||
** Poor planning | *** Apathy | ||
* Psychiatric features such as: | *** Poor planning | ||
** Depression | ** Psychiatric features such as: | ||
** Psychosis | *** Depression | ||
** Anxiety | *** Psychosis | ||
*** Anxiety | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 14:59, 28 December 2017
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Wilson's disease Microchapters |
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Diagnosis |
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Treatment |
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Wilson's disease physical examination On the Web |
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American Roentgen Ray Society Images of Wilson's disease physical examination |
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Risk calculators and risk factors for Wilson's disease physical examination |
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
- Neuropsychiatric manifestations of Wilson's disease include the following:
- 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
- Parkinsonism like signs such as: