Alcoholic liver disease physical examination: Difference between revisions
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* [[Abdominal distention]] | * [[Abdominal distention]] | ||
* Palpable liver edge | * Palpable liver edge | ||
* Abdominal tenderness | * [[Abdominal tenderness]] | ||
* [[Ascites]] | * [[Ascites]] | ||
* Fluid wave (due to ascites) | * Fluid wave (due to ascites) | ||
Revision as of 16:10, 28 October 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
There are certain stigmata associated with alcoholic liver disease that one should look for on physical examination. These include; jaundice, gynecomastia, spider angiomata, bruising, hepatosplenomegaly, ascites, testicular atrophy, asterixis, and palmar erythema.
Physical Examination
Vitals
- Fever may be present
Head and Neck
- Fetor hepaticus (breath smelling like a freshly opened corpse)
- Parotid hypertrophy
- Poor dentition
- Scleral icterus
Skin
- Jaundice
- Abnormal dark or light patches of skin
- Spider angiomata
- Gynecomastia
- Bruising or other indications of deficiency in coagulation factors
- Striae
Abdomen
- Hepatosplenomegaly
- Abdominal distention
- Palpable liver edge
- Abdominal tenderness
- Ascites
- Fluid wave (due to ascites)
- Right upper quadrant tenderness
Genitourinary
Extremeties
Neurologic
- Confusion, coma (encephalopathy) may be present
- Evidence of Wernicke's or Korsakoff syndrome