Cirrhosis Microchapters |
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Cirrhosis physical examination On the Web |
American Roentgen Ray Society Images of Cirrhosis physical examination |
Risk calculators and risk factors for Cirrhosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]
Patients with cirrhosis usually present with signs of jaundice, palmar erythema, spider angiomata, gynaecomastia and alteration of mental status arising due to complications of cirrhosis. Abdominal examination may show signs of abdominal distension, caput medusae, splenomegaly and flank dullness on percussion. Other findings on examination include nail changes, presence of Clubbing, dupuytren's contracture(flexion deformities of the fingers) and Asterixis in cases with hepatic encephalopathy.
Telingectasias
Source: Wikimedia commons
Palmar erythema
Source: Wikimedia commons[2]
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Abdominal distention, ascites-By James Heilman, MD (Own work)
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Dupuytren's contracture
Source: Wikimedia commons
Dupuytren´s Contracture on the ring finger
Clubbing: angle between the nail plate and proximal nail fold is greater than 180 degrees
Source: Wikimedia commons
Muehrcke's nails: paired horizontal white bands separated by normal color
Source:Wikimedia commons [18]