Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Hepatitis B physical examination
Introduction
Overview
Overview
For the majority of patients with acute and chronic hepatitis B (HBV), the physical examination is normal.[1]
Physical Examination
Physical Examination
The aim of the initial physical examination is to check for signs of chronic liver disease, which include the following:[1]
Skin
HEENT
Abdomen
- Hepatomegaly
- Shrunken liver
- Splenomegaly
- Ascites
- Caput medusae
Extremities
Neurologic
- Asterixis
- Neurologic manifestations in cases of HBV progression to hepatic encephalopathy include a wide spectrum of cognitive impairment and motor system abnormalities.[2]
Extrahepatic Manifestations
Gallery
Gallery
Refer to the Cirrhosis image gallery for images of the physical findings listed above.
References
References
- ↑ 1.0 1.1 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.
- ↑ Vilstrup H, Amodio P, Bajaj J, Cordoba J, Ferenci P, Mullen KD; et al. (2014). “Hepatic encephalopathy in chronic liver disease: 2014 Practice Guideline by the American Association for the Study Of Liver Diseases and the European Association for the Study of the Liver”. Hepatology. 60 (2): 715–35. doi:10.1002/hep.27210. PMID 25042402.
- ↑ Han SH (2004). “Extrahepatic manifestations of chronic hepatitis B.” Clin Liver Dis. 8 (2): 403–18. PMID 15481347.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jolanta Marszalek, M.D. [2]