Autoimmune hepatitis physical examination: Difference between revisions
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*[[Hepatomegaly]] | *[[Hepatomegaly]] | ||
*Spider angiomata | *Spider angiomata | ||
* | **Patient is disoriented to persons, place, and time | ||
*Altered mental status]. | |||
* | |||
* | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with Autoimmune hepatitis usually appear normal initially. If it progresses to cirrhosis then patient appear weak due to constitutional symptoms such as weight loss, anorexia, and muscle atrophy | *Patients with Autoimmune hepatitis usually appear normal initially. If it progresses to cirrhosis then patient appear weak due to constitutional symptoms such as weight loss, anorexia, and muscle atrophy | ||
Revision as of 21:39, 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 progresses to cirrhosis are jaundice, hepatomegaly, and spider angiomata.
Physical Examination
Physical examination of Autoimmune hepatitis patient who progresses to cirrhosis:[1]
- Jaundice
- Hepatomegaly
- Spider angiomata
- Patient is disoriented to persons, place, and time
- Altered mental status].
Appearance of the Patient
- Patients with Autoimmune hepatitis usually appear normal initially. If it progresses to cirrhosis then patient appear weak due to constitutional symptoms such as weight loss, anorexia, and muscle atrophy
- Yellowish discoloration of the skin
- Abdominal distension may also be present due to ascites
- Normal/low blood pressure with normal pulse pressure
Signs of patient progresses to cirrhosis
Skin
![Spider angiomata[3]](/index.php/File:Spider_nevus.jpg)
![Sclerotic jaundice in a female [4]](/index.php/File:Cholangitis_Jaundice.jpg)
HEENT
Abdomen
Neuromuscular
- Hepatic encephalopathy patient presents with:
- Confusion
- Coma
References
- ↑ Krawitt EL (2006). "Autoimmune hepatitis". N. Engl. J. Med. 354 (1): 54–66. doi:10.1056/NEJMra050408. PMID 16394302.
- ↑ Li CP, Lee FY, Hwang SJ; et al. (1999). "Spider angiomas in patients with liver cirrhosis: role of alcoholism and impaired liver function". Scand. J. Gastroenterol. 34 (5): 520–3. PMID 10423070.
- ↑ https://commons.wikimedia.org/wiki/File:Spider_nevus.jpg#/media/
- ↑ By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793
