Hepatitis A physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
The appearance of the patient on presentation will depend on its age. Younger patients tend to be asymptomatic, while symptomatic patients tend to be older. Symptomatic patients may appear with a range of symptoms that can vary in severity from a mild [[flu]]-like illness to fulminant hepatitis. Patients with fulminat hepatitis may appear disoriented, nauseated, vomiting, with abdominal pain. | The appearance of the patient on presentation will depend on its age. Younger patients tend to be [[asymptomatic]], while [[symptomatic]] patients tend to be older. [[Symptomatic]] patients may appear with a range of symptoms that can vary in severity from a mild [[flu]]-like illness to fulminant hepatitis. Patients with fulminat hepatitis may appear [[disoriented]], [[nauseated]], [[vomiting]], with [[abdominal pain]]. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Patients may have [[fever]] with temperatures up to 40°C | *Patients may have [[fever]] with temperatures up to 40°C | ||
====Pulse==== | |||
=====Rate===== | |||
*[[Tachycardia]] may be present | |||
====Blood Pressure==== | |||
*[[Hypotension]] may be present | |||
====Respiratory Rate==== | |||
*[[Tachypnea]] may be present | |||
===Skin=== | ===Skin=== | ||
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===Eyes=== | ===Eyes=== | ||
* | *Icteric [[sclera]] is often present | ||
===Neck=== | ===Neck=== | ||
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===Abdomen=== | ===Abdomen=== | ||
*[[Abdominal distention]] may be present | |||
*[[Abdominal tenderness]] is often present | |||
*[[Hepatomegaly]] with [[right upper quadrant]] tenderness is often present | *[[Hepatomegaly]] with [[right upper quadrant]] tenderness is often present | ||
*[[Splenomegaly]] may be present | *[[Splenomegaly]] may be present | ||
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===Neurologic=== | ===Neurologic=== | ||
* Mental status may be altered | |||
*[[Encephalopathy]] may be present | *[[Encephalopathy]] may be present | ||
Revision as of 13:43, 28 July 2014
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Hepatitis A |
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Diagnosis |
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Treatment |
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Case Studies |
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Hepatitis A physical examination On the Web |
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American Roentgen Ray Society Images of Hepatitis A physical examination |
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Risk calculators and risk factors for Hepatitis A physical examination |
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 is commonly associated with the findings of ___ on physical examination. Other pertinent findings include ___.
Physical Examination
Appearance of the Patient
The appearance of the patient on presentation will depend on its age. Younger patients tend to be asymptomatic, while symptomatic patients tend to be older. Symptomatic patients may appear with a range of symptoms that can vary in severity from a mild flu-like illness to fulminant hepatitis. Patients with fulminat hepatitis may appear disoriented, nauseated, vomiting, with abdominal pain.
Vital Signs
- Patients may have fever with temperatures up to 40°C
Pulse
Rate
- Tachycardia may be present
Blood Pressure
- Hypotension may be present
Respiratory Rate
- Tachypnea may be present
Skin
Eyes
- Icteric sclera is often present
Neck
Cervical lymphadenopathy may be present
Abdomen
- Abdominal distention may be present
- Abdominal tenderness is often present
- Hepatomegaly with right upper quadrant tenderness is often present
- Splenomegaly may be present
- Ascites may be present in severe stages of disease
Neurologic
- Mental status may be altered
- Encephalopathy may be present
Gallery
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![The viral disease Hepatitis A is manifested here as icterus, or jaundice of the conjunctivae and facial skin. Adapted from Public Health Image Library (PHIL), Centers for Disease Control and Prevention.[1]](/images/0/0e/HepatitisA1.png)
The viral disease Hepatitis A is manifested here as icterus, or jaundice of the conjunctivae and facial skin. Adapted from Public Health Image Library (PHIL), Centers for Disease Control and Prevention.[1]
![The viral disease Hepatitis A is manifested here as icterus, or jaundice of the conjunctivae and facial skin. Adapted from Public Health Image Library (PHIL), Centers for Disease Control and Prevention.[1]](/index.php/File:HepatitisA1.png)