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 are jaundice, hepatomegaly, and spider angiomata

Physical Examination

Physical examination of Autoimmune hepatitis patient who progresses to cirrhosis:^[1]

Jaundice
Hepatomegaly
Spider angiomata

Appearance of the Patient

Patients with Autoimmune hepatitis usually appear normal initially. If it progresses 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

Spider angiomata^[3]
Sclerotic jaundice in a female ^[4]

HEENT

Abdomen

Neuromuscular

Hepatic encephalopathy patient presents with:
- Confusion
- Coma

References

↑ Krawitt EL (2006). "Autoimmune hepatitis". N. Engl. J. Med. 354 (1): 54–66. doi:10.1056/NEJMra050408. PMID 16394302.
↑ Li CP, Lee FY, Hwang SJ; et al. (1999). "Spider angiomas in patients with liver cirrhosis: role of alcoholism and impaired liver function". Scand. J. Gastroenterol. 34 (5): 520–3. PMID 10423070.
↑ https://commons.wikimedia.org/wiki/File:Spider_nevus.jpg#/media/
↑ By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793

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[pmid16394302-1] Krawitt EL (2006). "Autoimmune hepatitis". N. Engl. J. Med. 354 (1): 54–66. doi:10.1056/NEJMra050408. PMID 16394302.

[pmid10423070-2] Li CP, Lee FY, Hwang SJ; et al. (1999). "Spider angiomas in patients with liver cirrhosis: role of alcoholism and impaired liver function". Scand. J. Gastroenterol. 34 (5): 520–3. PMID 10423070.

[3] ttps://commons.wikimedia.org/wiki/File:Spider_nevus.jpg#/media/

[4] By Bobjgalindo - Own work, GFDL, https://commons.wikimedia.org/w/index.php?curid=10762793

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