Jaundice physical examination: Difference between revisions

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===Neck===
===Neck===
* [[Cervical]] [[lymphadenopathy]] may be present in  [[viral hepatitis]].<ref name="pmid19399815">{{cite journal |vauthors=Rotman Y, Brown TA, Hoofnagle JH |title=Evaluation of the patient with hepatitis B |journal=Hepatology |volume=49 |issue=5 Suppl |pages=S22–7 |year=2009 |pmid=19399815 |pmc=2881483 |doi=10.1002/hep.22976 |url=}}</ref>
* [[Cervical]] [[lymphadenopathy]] may be present in  [[viral hepatitis]].<ref name="pmid19399815">{{cite journal |vauthors=Rotman Y, Brown TA, Hoofnagle JH |title=Evaluation of the patient with hepatitis B |journal=Hepatology |volume=49 |issue=5 Suppl |pages=S22–7 |year=2009 |pmid=19399815 |pmc=2881483 |doi=10.1002/hep.22976 |url=}}</ref>
* Signs of [[Metastasis|metastatic disease]] include:
** Left [[Supraclavicular lymph nodes|supraclavicular]] [[lymphadenopathy]] ([[Virchow's node]])
** Palpable periumbilical mass (''Sister Mary Joseph's node'')
** [[Metastasis|Metastatic]] palpable mass in the [[rectal]] pouch (''Blumer's shelf'')
** Involvement of other [[Lymph node|nodes]] in the [[cervical]] area
may be present in [[pancreatic cancer]].


===Lungs===
===Lungs===

Revision as of 14:44, 5 February 2018

Jaundice Microchapters

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

Overview

Physical Examination

    • Jaundice is seen with a number of disorders. Physical examination of patients with jaundice is based on underlying disease.

Appearance of the Patient

Vital Signs

Skin

HEENT

Neck

may be present in pancreatic cancer.

Lungs

Heart

Abdomen

Back

Genitourinary

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Extremities

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 Rotman Y, Brown TA, Hoofnagle JH (2009). "Evaluation of the patient with hepatitis B". Hepatology. 49 (5 Suppl): S22–7. doi:10.1002/hep.22976. PMC 2881483. PMID 19399815.
  2. Li CP, Lee FY, Hwang SJ, Chang FY, Lin HC, Lu RH, Hou MC, Chu CJ, Chan CC, Luo JC, Lee SD (1999). "Spider angiomas in patients with liver cirrhosis: role of alcoholism and impaired liver function". Scand. J. Gastroenterol. 34 (5): 520–3. PMID 10423070.
  3. Li CP, Lee FY, Hwang SJ, Chang FY, Lin HC, Lu RH, Hou MC, Chu CJ, Chan CC, Luo JC, Lee SD (1999). "Spider angiomas in patients with liver cirrhosis: role of alcoholism and impaired liver function". Scand. J. Gastroenterol. 34 (5): 520–3. PMID 10423070.
  4. 4.0 4.1 Schuppan D, Afdhal NH (2008). "Liver cirrhosis". Lancet. 371 (9615): 838–51. doi:10.1016/S0140-6736(08)60383-9. PMC 2271178. PMID 18328931.
  5. Ferenci P (2017). "Hepatic encephalopathy". Gastroenterol Rep (Oxf). 5 (2): 138–147. doi:10.1093/gastro/gox013. PMC 5421503. PMID 28533911.
  6. MUEHRCKE RC (1956). "The finger-nails in chronic hypoalbuminaemia; a new physical sign". Br Med J. 1 (4979): 1327–8. PMC 1980060. PMID 13316143.

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