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:

• Jaundice
• Hepatomegaly
• Spider angiomata
• Ascites
• Asterixis
• spleenomegaly
• Palmar erythema.

Appearance of the Patient

• Patients with Autoimmune hepatitis usually appear normal.

Signs of patient progresses to cirrhosis

Skin

• Jaundice
• Spider angiomata

• 

  Spider angiomata

• 

  Sclerotic jaundice in a female

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