Autoimmune hepatitis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: :Manpreet Kaur, MD [2]

Patients with autoimmune hepatitis usually appear normal. Physical examination of patients with autoimmune hepatitis are jaundice, hepatomegaly, splenomegaly, hepatic encephalopathy and spider angiomata.

Physical examination of Autoimmune hepatitis patient who progresses to cirrhosis:^[1]

• Jaundice
• Hepatomegaly
• Spider angiomata

• Patients with autoimmune hepatitis usually appear normal initially. If it progresses then patient appear weak due to constitutional symptoms such as weight loss, anorexia, and muscle atrophy.
• Yellowish discoloration of the skin.
• Abdominal distension may also be present due to ascites.
• Normal/low blood pressure with normal pulse pressure.

• Jaundice
• Spider angiomata^[2] 

• 
  Spider angiomata^[3]
• 
  Sclerotic jaundice in a female ^[4]

• Hirsutism
• Icteric sclera
• Acne

• Abdominal distention(Ascites)
• Hepatomegaly
• splenomegaly
• Caput medusae

• Hepatic encephalopathy patient presents with:
  • Altered mental status
  • Confusion
  • Coma

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