Hepatitis A/Physical Examination

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Overview

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

Hepatitis A virus infection is commonly associated with fever, jaundice, icteric sclera, abdominal tenderness, and hepatomegaly on physical examination. Other pertinent findings include rash, cervical lymphadenopathy, abdominal distension, ascites, and altered mental status.

Physical Examination

Appearance of the Patient

The appearance of the patient on presentation depends on his/her age. Younger patients tend to be asymptomatic, while symptomatic patients tend to be older. Symptomatic patients may have a range of symptoms that can vary in severity from a mild flu-like illness to fulminant hepatitis. Patients with fulminant hepatitis are usually disoriented and very ill-looking.

Vital Signs

  • Fever is often present, with a temperature up to 40°C

Pulse

Rate

Blood Pressure

Respiratory Rate

Skin

Eyes

  • Icteric sclera is often present

Neck

Abdomen

Neurologic

Gallery

References

  1. "Public Health Image Library (PHIL), Centers for Disease Control and Prevention".

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