Portal vein thrombosis physical examination

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

Overview

Patients with portal vein thrombosis usually appear ill. Common physical examination findings of portal vein thrombosis include abdominal pain or distention, splenomegaly and signs of ascites.

Physical Examination

Physical examination of patients with portal vein thrombosis is usually remarkable for abdominal pain or distention, splenomegaly and signs of ascites.

Appearance of the Patient

Patients with portal vein thrombosis usually appear ill.^[1]^[2]^[3]^[4]

Vital Signs

Fever
Bradycardia may be present

HEENT

Icteric sclera

Abdomen

Abdominal pain
Abdominal distention
Splenomegaly
Hepatomegaly
Right upper quadrant epigastric tenderness
Signs of ascites (fluid wave)
Guarding is rare, seen in case of intra-abdominal inflammation, intestinal infarction, and perforation

Neuromuscular

Patient is usually oriented to persons, place, and time
Glasgow coma scale is 15/15

Skin

References

↑ Ponziani FR, Zocco MA, Campanale C, Rinninella E, Tortora A, Di Maurizio L, Bombardieri G, De Cristofaro R, De Gaetano AM, Landolfi R, Gasbarrini A (2010). “Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment”. World J. Gastroenterol. 16 (2): 143–55. PMC 2806552. PMID 20066733.
↑ Parikh, Sameer; Shah, Riddhi; Kapoor, Prashant (2010). “Portal Vein Thrombosis”. The American Journal of Medicine. 123 (2): 111–119. doi:10.1016/j.amjmed.2009.05.023. ISSN 0002-9343.
↑ DeLeve LD, Valla DC, Garcia-Tsao G (2009). “Vascular disorders of the liver”. Hepatology. 49 (5): 1729–64. doi:10.1002/hep.22772. PMID 19399912.
↑ Primignani M (2010). “Portal vein thrombosis, revisited”. Dig Liver Dis. 42 (3): 163–70. doi:10.1016/j.dld.2009.08.003. PMID 19766546.

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[pmid20066733-1] Ponziani FR, Zocco MA, Campanale C, Rinninella E, Tortora A, Di Maurizio L, Bombardieri G, De Cristofaro R, De Gaetano AM, Landolfi R, Gasbarrini A (2010). “Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment”. World J. Gastroenterol. 16 (2): 143–55. PMC 2806552. PMID 20066733.

[ParikhShah2010-2] Parikh, Sameer; Shah, Riddhi; Kapoor, Prashant (2010). “Portal Vein Thrombosis”. The American Journal of Medicine. 123 (2): 111–119. doi:10.1016/j.amjmed.2009.05.023. ISSN 0002-9343.

[pmid19399912-3] DeLeve LD, Valla DC, Garcia-Tsao G (2009). “Vascular disorders of the liver”. Hepatology. 49 (5): 1729–64. doi:10.1002/hep.22772. PMID 19399912.

[pmid19766546-4] Primignani M (2010). “Portal vein thrombosis, revisited”. Dig Liver Dis. 42 (3): 163–70. doi:10.1016/j.dld.2009.08.003. PMID 19766546.

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