Autoimmune hepatitis physical examination
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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 with autoimmune hepatitis is usually remarkable for jaundice, hepatomegaly, and spider angiomata.
Physical Examination
Physical examination of Autoimmune hepatitis patient who progresses to cirrhosis:[1]
- Jaundice
- Hepatomegaly
- Spider angiomata
- Ascites
- Asterixis
- spleenomegaly
- Palmar erythema.
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
- Jaundice
- Spider angiomata
![Spider angiomata[2]](/index.php/File:Spider_nevus.jpg)
![Sclerotic jaundice in a female [3]](/index.php/File:Cholangitis_Jaundice.jpg)
HEENT
- Hirsutism
- Icteric sclera
- Acne
Abdomen
- Abdominal distention(Ascites)
- Hepatomegaly
- splenomegaly
Neuromuscular
- Patient present with hepatic encephalopathy
- Patient is disoriented to persons, place, and time
- Altered mental status
References
- ↑ Krawitt EL (2006). "Autoimmune hepatitis". N. Engl. J. Med. 354 (1): 54–66. doi:10.1056/NEJMra050408. PMID 16394302.
- ↑ https://commons.wikimedia.org/wiki/File:Spider_nevus.jpg#/media/
- ↑ By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793
