Alcoholic liver disease physical examination: Difference between revisions
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| Line 8: | Line 8: | ||
* Fever may be present | * Fever may be present | ||
====Head and Neck== | ====Head and Neck=== | ||
* [[Fetor hepaticus]] (breath smelling like a freshly opened corpse) | * [[Fetor hepaticus]] (breath smelling like a freshly opened corpse) | ||
* | * Parotid hypertrophy | ||
* Poor dentition | * Poor dentition | ||
* [[Sceral icterus]] | * [[Sceral icterus]] | ||
| Line 31: | Line 31: | ||
===Genitourinary=== | ===Genitourinary=== | ||
* [[Testicular atrophy]] | * [[Testicular atrophy]] | ||
===Extremeties=== | |||
*[[Muscle atrophy]] | |||
* [[Asterixis]] | |||
* [[Palmar erythema]] | |||
===Neurologic=== | ===Neurologic=== | ||
* Confusion, coma ([[encephalopathy]]) may be present | * Confusion, coma ([[encephalopathy]]) may be present | ||
Revision as of 16:00, 28 October 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
Vitals
- Fever may be present
=Head and Neck
- Fetor hepaticus (breath smelling like a freshly opened corpse)
- Parotid hypertrophy
- Poor dentition
- Sceral icterus
Skin
- Jaundice
- Abnormal dark or light patches of skin
- Spider angiomata
- Gynecomastia
- Bruising or other indications of deficiency in coagulation factors
Abdomen
- Hepatosplenomegaly
- Abdominal distention
- Palpable liver edge
- Abdominal tenderness
- Ascites
- Fluid wave (due to ascites)
Genitourinary
Extremeties
Neurologic
- Confusion, coma (encephalopathy) may be present
- Evidence of Wernicke's or Korsakoff syndrome