Hepatitis C physical examination

Revision as of 20:53, 29 June 2015 by YazanDaaboul (talk | contribs)
Jump to navigation Jump to search

Hepatitis Main Page

Hepatitis C

Home

Patient Info

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Epidemiology & Demographics

Risk Factors

Screening

Differentiating Hepatitis C from other Diseases

Natural History, Complications & Prognosis

Diagnosis

History & Symptoms

Physical Examination

Lab Tests

Electrocardiogram

Chest X Ray

CT

MRI

Ultrasound

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Future or Investigational Therapies

Hepatitis C physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Hepatitis C physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Hepatitis C physical examination

CDC on Hepatitis C physical examination

Hepatitis C physical examination in the news

Blogs on Hepatitis C physical examination

Directions to Hospitals Treating Hepatitis C

Risk calculators and risk factors for Hepatitis C physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Patients with hepatitis C typically have a normal physical exam. In patients with advanced disease, physical exam signs of liver cirrhosis may be apparent.

Physical Exam

Patients with acute and chronic hepatitis C usually have a normal physical exam. Patients with more advanced disease manifest findings observed in patients with liver cirrhosis. A complete physical exam is important to assess patients with hepatitis C to guide the optimal choice of therapy.

Findings in patients with chronic HCV[1]
Physical Exam Comments
Abdomen Evidence of hepatic inflammation or hepatomegaly, signs of cirrhosis may be present including ascites (shifting dullness), splenomegaly, and caput medusae
Cardiovascular system Underlying cardiovascular disease may affect the choice of therapy. CVD is a relative contraindication to treatment with the combination of pegylated interferon and ribavirin.
Extremities Peripheral pitting edema can be a sign of portal hypertension.
General appearance Malnutrition can be a sign of advanced liver disease.
HEENT Thyroid abnormalities; treatment can cause or exacerbate autoimmune thyroiditis.
Icterus
Mental status Evidence of psychosis or depression, which are important contraindications to treatment.
Respiratory system Perform a general examination to exclude respiratory disease.
Skin Signs of alcohol abuse or liver failure, such as spider angioma, dilated veins over the chest or abdomen (indicative of portal hypertension), and palmar erythema.
Jaundice and gynecomastia.
Cutaneous complications of long-term HCV infection, such as palpable purpura (associated with cryoglobulinemia) or blisters and vesicles, associated with porphyria cutanea tarda
Weight Weight determines the dosage of pegylated interferon and ribavirin

Adapted from Ward RP, Kugelmas M, Libsch KD. Management of hepatitis C: evaluating suitability for drug therapy. Am Fam Physician. 2004;69(6):1429-36.

References

  1. Ward RP, Kugelmas M, Libsch KD (2004). "Management of hepatitis C: evaluating suitability for drug therapy". Am Fam Physician. 69 (6): 1429–36. PMID 15053407.


Template:WH Template:WS

Cookies help us deliver our services. By using our services, you agree to our use of cookies.

Navigation menu