Hepatitis B physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
For the majority of patients with acute and chronic hepatitis B, the physical examination is normal.
Physical Examination
The aim of the initial physical examination is to observe for the presence of signs of chronic liver disease which include the following:
Skin
Jaundice Palmar erythema Spider angiomata Gynecomastia
Abdomen
Hepatomegaly Shrunken liver Splenomegaly Ascites Caput medusae
Neurologic
Asterixis Encephalopathy
Extremities
Peripheral edema Dupuytren's contracture
Extrahepatic manifestations
- Arthritis-dermatitis syndrom: urticaria,petechiae, palpable purpura, arthralgia, arthritis of small joints[1]
- Neuropathy : mononoeuritis, peripheral neuropathy
Spider angiomata in 47-year-old patient had longstanding jaundice and ascites consequent to biopsy-proven hepatic cirrhosis.[2]
- ↑ Han SH (2004). "Extrahepatic manifestations of chronic hepatitis B." Clin Liver Dis. 8 (2): 403–18. PMID 15481347.
- ↑ Fred, H.; van Dijk, H. Images of Memorable Cases: Case 114, Connexions Web site. http://cnx.org/content/m14900/1.3/, Feb 16, 2012