Autoimmune hepatitis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Physical examination of | Physical examination of Autoimmune hepatitis patient's who progresses to cirrhosis is usually remarkable for:<ref name="pmid16394302">{{cite journal |vauthors=Krawitt EL |title=Autoimmune hepatitis |journal=N. Engl. J. Med. |volume=354 |issue=1 |pages=54–66 |year=2006 |pmid=16394302 |doi=10.1056/NEJMra050408 |url=}}</ref> | ||
*Jaundice | *Jaundice | ||
*Hepatomegaly | *Hepatomegaly | ||
*Spider angiomata. | *Spider angiomata | ||
*[[Ascites]] | |||
*[[Asterixis]] | |||
*[[Splenomegaly|spleenomegaly]] | |||
*[[Palmar erythema]]. | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with Autoimmune hepatitis usually appear normal. | *Patients with Autoimmune hepatitis usually appear normal. | ||
==Signs of patient progresses to cirrhosis== | ==Signs of patient progresses to cirrhosis== | ||
===Skin=== | ===Skin=== | ||
Revision as of 21:15, 28 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: :Manpreet Kaur, MD [2]
Overview
Patients with autoimmune hepatitis usually appear normal. Physical examination of patients with autoimmune hepatitis is usually remarkable for jaundice, hepatomegaly, and spider angiomata.
Physical Examination
Physical examination of Autoimmune hepatitis patient's who progresses to cirrhosis is usually remarkable for:[1]
- Jaundice
- Hepatomegaly
- Spider angiomata
- Ascites
- Asterixis
- spleenomegaly
- Palmar erythema.
Appearance of the Patient
- Patients with Autoimmune hepatitis usually appear normal.
Signs of patient progresses to cirrhosis
Skin
- Jaundice
- Spider angiomata
![Spider angiomata[2]](/index.php/File:Spider_nevus.jpg)
![Sclerotic jaundice in a female [3]](/index.php/File:Cholangitis_Jaundice.jpg)
HEENT
- Hirsutism
- Icteric sclera
- Acne
Abdomen
- Abdominal distention(Ascites)
- Hepatomegaly
- splenomegaly
Neuromuscular
- Patient present with hepatic encephalopathy
- Patient is disoriented to persons, place, and time
- Altered mental status
References
- ↑ Krawitt EL (2006). "Autoimmune hepatitis". N. Engl. J. Med. 354 (1): 54–66. doi:10.1056/NEJMra050408. PMID 16394302.
- ↑ https://commons.wikimedia.org/wiki/File:Spider_nevus.jpg#/media/
- ↑ By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793
