Wilson's disease physical examination: Difference between revisions
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{{CMG}}; {{AE}} {{AEL}} | {{CMG}}; {{AE}} {{AEL}} | ||
==Overview== | ==Overview== | ||
Patients with Wilson's disease usually appear tired. Physical examination of patients with Wilson's disease is usually remarkable for jaundice and easy bruising in the skin. Physical examination also is remarkable for Kayser Fleischer ring in the eyes as a result of the copper accumulation in the cornea. Common physical examination findings in the abdomen include abdominal tenderness , ascites, and spider angiomata. Common | Patients with Wilson's disease usually appear [[tired]]. Physical examination of patients with Wilson's disease is usually remarkable for [[jaundice]] and [[easy bruising]] in the [[skin]]. Physical examination also is remarkable for [[Kayser-Fleischer ring]] in the [[eyes]] as a result of the [[copper]] accumulation in the [[cornea]]. Common physical examination findings in the [[abdomen]] include [[abdominal tenderness]], [[ascites]], and [[spider angiomata]]. Common [[neuropsychiatric]] signs include [[seizures]], [[parkinsonism]] like signs, [[depression]], and [[anxiety]]. | ||
==Physical examination== | ==Physical examination== | ||
=== Appearance of the patient === | === Appearance of the patient === | ||
* Patients with Wilson's disease mostly appear tired due to the hepatic involvement. | * Patients with Wilson's disease mostly appear [[tired]] due to the [[hepatic]] involvement. | ||
=== Vitals === | === Vitals === | ||
* [[Low blood pressure]] | * [[Low blood pressure]] | ||
* [[Hypothermia]] / [[hyperthermia]] may be present | * [[Hypothermia]] / [[hyperthermia]] may be present | ||
=== Skin === | === Skin === | ||
* Jaundice | * [[Jaundice]] | ||
* Easy bruising (bleeding tendency) | * [[Easy bruising]] ([[bleeding tendency]]) | ||
=== HEENT === | === HEENT === | ||
* Icteric sclera | * [[Icterus|Icteric sclera]] | ||
* Kayser Fleischer | * [[Kayser-Fleischer ring]] in the [[eyes]] | ||
=== Abdomen === | === Abdomen === | ||
* Abdominal tenderness | * [[Abdominal tenderness]] | ||
* Hepatosplenomegaly | * [[Hepatosplenomegaly]] | ||
* Ascites | * [[Ascites]] | ||
* Spider angiomata (in cases with cirrhosis) | * [[Spider angiomata]] (in cases with [[cirrhosis]]) | ||
* Esophageal varices | * [[Esophageal varices]] | ||
=== Heart === | === Heart === | ||
* Cardiomyopathy | * [[Cardiomyopathy]] | ||
* Cardiac arrhythmia | * [[Cardiac arrhythmia]] | ||
=== Neuromuscular === | === Neuromuscular === | ||
* | * [[Neurology|Neurologic]] manifestations of Wilson's disease include the following:<ref name="pmid20146697">{{cite journal| author=Lorincz MT| title=Neurologic Wilson's disease. | journal=Ann N Y Acad Sci | year= 2010 | volume= 1184 | issue= | pages= 173-87 | pmid=20146697 | doi=10.1111/j.1749-6632.2009.05109.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20146697 }}</ref> | ||
** Parkinsonism like signs such as: | ** [[Parkinsonism]] like signs such as: | ||
*** Bradykinesia | *** [[Bradykinesia]] | ||
*** Cogwheel rigidity | *** Cogwheel rigidity | ||
*** Lack of balance | *** Lack of balance | ||
** Seizures | ** [[Seizures]] | ||
** Migrane | ** [[Migrane]] | ||
** Frontal lobe disorder with the following signs: | ** [[Frontal lobe]] disorder with the following signs: | ||
*** Impaired judgement | *** Impaired judgement | ||
*** Apathy | *** [[Apathy]] | ||
*** Poor planning | *** Poor planning | ||
** Psychiatric features such as: | ** [[Psychiatric]] features such as: | ||
*** Depression | *** [[Depression]] | ||
*** Psychosis | *** [[Psychosis]] | ||
*** Anxiety | *** [[Anxiety]] | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Gastroenterology]] | |||
[[Category:Hematology]] | |||
[[Category:Medicine]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 19:26, 29 August 2018
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Wilson's disease Microchapters |
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Wilson's disease physical examination On the Web |
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American Roentgen Ray Society Images of Wilson's disease physical examination |
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Risk calculators and risk factors for Wilson's disease physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Patients with Wilson's disease usually appear tired. Physical examination of patients with Wilson's disease is usually remarkable for jaundice and easy bruising in the skin. Physical examination also is remarkable for Kayser-Fleischer ring in the eyes as a result of the copper accumulation in the cornea. Common physical examination findings in the abdomen include abdominal tenderness, ascites, and spider angiomata. Common neuropsychiatric signs include seizures, parkinsonism like signs, depression, and anxiety.
Physical examination
Appearance of the patient
Vitals
- Low blood pressure
- Hypothermia / hyperthermia may be present
Skin
HEENT
Abdomen
- Abdominal tenderness
- Hepatosplenomegaly
- Ascites
- Spider angiomata (in cases with cirrhosis)
- Esophageal varices
Heart
Neuromuscular
- Neurologic manifestations of Wilson's disease include the following:[1]
- Parkinsonism like signs such as:
- Bradykinesia
- Cogwheel rigidity
- Lack of balance
- Seizures
- Migrane
- Frontal lobe disorder with the following signs:
- Impaired judgement
- Apathy
- Poor planning
- Psychiatric features such as:
- Parkinsonism like signs such as:
References
- ↑ Lorincz MT (2010). "Neurologic Wilson's disease". Ann N Y Acad Sci. 1184: 173–87. doi:10.1111/j.1749-6632.2009.05109.x. PMID 20146697.