Cirrhosis physical examination: Difference between revisions

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* '''[[Caput medusae|Caput medusa]]'''. In portal hypertension, the [[umbilical vein]] may open. Blood from the portal venous system may be shunted through the periumbilical veins into the umbilical vein and ultimately to the abdominal wall veins, manifesting as caput medusa.
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[[Image:Caput medusae1.jpg|thumb|300px|center|Caput medusae]]
[[Image:Caput medusae1.jpg|thumb|300px|center|Caput medusae]]

Revision as of 17:40, 7 December 2017

Cirrhosis Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cirrhosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

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Case #1

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

Overview

Many signs and symptoms may occur in the presence of cirrhosis or as a result of the complications or causes of cirrhosis. Many are nonspecific and may occur in other diseases and do not necessarily point to cirrhosis. Likewise, the absence of any sign or symptom does not rule out the possibility of cirrhosis.

Physical Examination

Skin

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Telangectasia
Palmar erythema
Dupuytren's contracture
Dupuytren's contracture

Eyes

A Kayser-Fleischer ring in a 32-year-old patient who had longstanding speech difficulties and tremor.

Abdomen

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Caput medusae
Hypertrophic osteoarthropathy - Bilateral single lamination of new bone confined to metaphysis and diaphysis ( arrows ) and is separated from the underlying bone by a radiolucent layer.
Muehrcke's nails
Clubbing

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References

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