Amoebic liver abscess physical examination: Difference between revisions

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==Physical Examination==
==Physical Examination==
Common physical examination findings associated with amoebic liver abscess may include:<ref name=amoebiasis>https://medlineplus.gov/ency/article/000211.htm Accessed on february 8, 2017</ref><ref name="pmid10459092">{{cite journal| author=Hoffner RJ, Kilaghbian T, Esekogwu VI, Henderson SO| title=Common presentations of amebic liver abscess. | journal=Ann Emerg Med | year= 1999 | volume= 34 | issue= 3 | pages= 351-5 | pmid=10459092 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10459092  }} </ref><ref name="pmid12149132">{{cite journal| author=Wiwanitkit V| title=A note on clinical presentations of amebic liver abscess: an overview from 62 Thai patients. | journal=BMC Fam Pract | year= 2002 | volume= 3 | issue=  | pages= 13 | pmid=12149132 | doi= | pmc=122079 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12149132  }} </ref>
Common physical examination findings associated with [[amoebic liver abscess]] may include:<ref name=amoebiasis>https://medlineplus.gov/ency/article/000211.htm Accessed on february 8, 2017</ref><ref name="pmid10459092">{{cite journal| author=Hoffner RJ, Kilaghbian T, Esekogwu VI, Henderson SO| title=Common presentations of amebic liver abscess. | journal=Ann Emerg Med | year= 1999 | volume= 34 | issue= 3 | pages= 351-5 | pmid=10459092 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10459092  }} </ref><ref name="pmid12149132">{{cite journal| author=Wiwanitkit V| title=A note on clinical presentations of amebic liver abscess: an overview from 62 Thai patients. | journal=BMC Fam Pract | year= 2002 | volume= 3 | issue=  | pages= 13 | pmid=12149132 | doi= | pmc=122079 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12149132  }} </ref>


'''Appearance of patient'''
'''Appearance of patient'''
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*High grade fever with chills
*High grade fever with chills
*Tachycardia
*[[Tachycardia]]


'''Skin'''
'''Skin'''


Yellowish discoloration of skin (jaundice)
Yellowish discoloration of skin ([[jaundice]])


'''HEENT'''
'''HEENT'''


Icteric sclera
[[icterus|Icteric sclera]]


'''Lungs'''  
'''Lungs'''  


Reduced breath sounds or crepitations at right lung base may be heard
Reduced breath sounds or [[crepitations]] at right lung base may be heard


'''Heart'''
'''Heart'''


*Chest tenderness on palpation
*[[Chest]] [[tenderness]] on [[palpation]]
*Audible pericardial friction rub (sign associated with high mortality)
*Audible [[pericardial friction rub]] (sign associated with high mortality)
*S1 and S2 are normal
*S1 and S2 are normal


'''Abdomen'''
'''Abdomen'''


*Hepatomegaly with point tenderness over the liver, in the intercostal spaces, or below the ribs is a typical finding.<ref name="pmid875719">{{cite journal| author=Adams EB, MacLeod IN| title=Invasive amebiasis. II. Amebic liver abscess and its complications. | journal=Medicine (Baltimore) | year= 1977 | volume= 56 | issue= 4 | pages= 325-34 | pmid=875719 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=875719  }} </ref><ref name="pmid6806561">{{cite journal| author=Katzenstein D, Rickerson V, Braude A| title=New concepts of amebic liver abscess derived from hepatic imaging, serodiagnosis, and hepatic enzymes in 67 consecutive cases in San Diego. | journal=Medicine (Baltimore) | year= 1982 | volume= 61 | issue= 4 | pages= 237-46 | pmid=6806561 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6806561  }} </ref>
*[[Hepatomegaly]] with point tenderness over the [[liver]], in the [[intercostal spaces]], or below the ribs is a typical finding.<ref name="pmid875719">{{cite journal| author=Adams EB, MacLeod IN| title=Invasive amebiasis. II. Amebic liver abscess and its complications. | journal=Medicine (Baltimore) | year= 1977 | volume= 56 | issue= 4 | pages= 325-34 | pmid=875719 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=875719  }} </ref><ref name="pmid6806561">{{cite journal| author=Katzenstein D, Rickerson V, Braude A| title=New concepts of amebic liver abscess derived from hepatic imaging, serodiagnosis, and hepatic enzymes in 67 consecutive cases in San Diego. | journal=Medicine (Baltimore) | year= 1982 | volume= 61 | issue= 4 | pages= 237-46 | pmid=6806561 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6806561  }} </ref>
*Epigastric mass if left lobe is involved
*[[Epigastric]] mass if left lobe is involved
*Abdominal guarding or rebound tenderness
*Abdominal [[guarding]] or [[rebound tenderness]]
*Due to dullness on percussion, the mvement on right side of the chest and abdomen is restricted
*Due to dullness on [[percussion]], the movement on right side of the chest and abdomen is restricted
*Abdominal distension in advanced cases
*Abdominal distension in advanced cases
*Absent bowel sounds  
*Absent bowel sounds  
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'''Extremities'''
'''Extremities'''


Bilateral pedal edema in advanced liver disease
Bilateral [[pedal edema]] in advanced liver disease


==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 20:00, 14 February 2017

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

Overview

Physical Examination

Common physical examination findings associated with amoebic liver abscess may include:[1][2][3]

Appearance of patient

Patients with amoebic liver abscess are sweating and ill appearing. Appears thin due to weight loss in later stages of disease.

Vital signs

Skin

Yellowish discoloration of skin (jaundice)

HEENT

Icteric sclera

Lungs

Reduced breath sounds or crepitations at right lung base may be heard

Heart

Abdomen

Extremities

Bilateral pedal edema in advanced liver disease

References

  1. https://medlineplus.gov/ency/article/000211.htm Accessed on february 8, 2017
  2. Hoffner RJ, Kilaghbian T, Esekogwu VI, Henderson SO (1999). "Common presentations of amebic liver abscess". Ann Emerg Med. 34 (3): 351–5. PMID 10459092.
  3. Wiwanitkit V (2002). "A note on clinical presentations of amebic liver abscess: an overview from 62 Thai patients". BMC Fam Pract. 3: 13. PMC 122079. PMID 12149132.
  4. Adams EB, MacLeod IN (1977). "Invasive amebiasis. II. Amebic liver abscess and its complications". Medicine (Baltimore). 56 (4): 325–34. PMID 875719.
  5. Katzenstein D, Rickerson V, Braude A (1982). "New concepts of amebic liver abscess derived from hepatic imaging, serodiagnosis, and hepatic enzymes in 67 consecutive cases in San Diego". Medicine (Baltimore). 61 (4): 237–46. PMID 6806561.