Hepatitis E physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Physical Examination
Vitals
Temperature
- A fever may be present
Pulse
Rate
- Tachycardia may be present
Respiratory Rate
- Tachypnea may be present
Skin
- Jaundice may be present
- Palmar erythema may be present
- Spider angiomata may be present
Eyes
- Icteric sclera may be present
Abdomen
- Abdominal distention may be present
- Abdominal tenderness may be present, particularly on the right upper quadrant
- Hepatomegaly may be present
- Splenomegaly may be present
Neurologic
- Asterixis
- Neurologic manifestations in cases of HEV progression to hepatic encephalopathy include a wide spectrum of cognitive impairment and motor system abnormalities.[1]
Extrahepatic Manifestations
- Arthritis-dermatitis syndrome:[2]
References
- ↑ Vilstrup H, Amodio P, Bajaj J, Cordoba J, Ferenci P, Mullen KD; et al. (2014). "Hepatic encephalopathy in chronic liver disease: 2014 Practice Guideline by the American Association for the Study Of Liver Diseases and the European Association for the Study of the Liver". Hepatology. 60 (2): 715–35. doi:10.1002/hep.27210. PMID 25042402.
- ↑ Han SH (2004). "Extrahepatic manifestations of chronic hepatitis B." Clin Liver Dis. 8 (2): 403–18. PMID 15481347.