Portal hypertension physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Overview

Physical examination of patients with portal hypertension is usually remarkable for splenomegaly, caput medusae, and thrombocytopenia. The presence of jaundice on physical examination is highly suggestive of cirrhosis. Patients with portal hypertension usually appear ill and icteric.

Physical Examination

Spider angioma-By Herbert L. Fred, MD and Hendrik A. van Dijk, via wikimedia.org [1]
Abdominal distention, ascites-By James Heilman, MD (Own work)
Dupuytren´s Contracture on the ring finger-By MikkTooming (Own work)

Appearance of the Patient

  • Patients with portal hypertension usually appear ill and icteric.

Vital Signs

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Skin

Neck

Heart

Abdomen

Genitourinary

Neuromuscular

Extremities

References

  1. (http://cnx.org/content/m14900/latest/) [<"http://creativecommons.org/licenses/by/2.0">CC BY 2.0], <"https://commons.wikimedia.org/wiki/File%3ASpider_nevus.jpg">via Wikimedia Commons
  2. 2.0 2.1 Hou W, Sanyal AJ (2009). "Ascites: diagnosis and management". Med. Clin. North Am. 93 (4): 801–17, vii. doi:10.1016/j.mcna.2009.03.007. PMID 19577115.
  3. 3.0 3.1 Escorsell A, Garcia-Pagán JC, Bosch J (2001). "Assessment of portal hypertension in humans". Clin Liver Dis. 5 (3): 575–89. PMID 11565131.

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