Portal hypertension physical examination

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

Overview

Physical examination of patients with portal hypertension is usually remarkable for splenomegaly, caput medusae, and thrombocytopenia. The presence of jaundice on physical examination is highly suggestive of cirrhosis. Patients with portal hypertension usually appear ill and icteric.

Patients with portal hypertension are usually asymptomatic at early stages of the disease.
Physical examination of patients with portal hypertension is usually remarkable for splenomegaly, caput medusae, and thrombocytopenia.
The presence of jaundice on physical examination is highly suggestive of cirrhosis.

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↑ ^4.0 ^4.1 Hou W, Sanyal AJ (2009). “Ascites: diagnosis and management”. Med. Clin. North Am. 93 (4): 801–17, vii. doi:10.1016/j.mcna.2009.03.007. PMID 19577115.
↑ ^5.0 ^5.1 Escorsell A, Garcia-Pagán JC, Bosch J (2001). “Assessment of portal hypertension in humans”. Clin Liver Dis. 5 (3): 575–89. PMID 11565131.