Portal hypertension patient examination

Portal hypertension patient examinationCreated OnApril 15, 2020Last Updated OnApril 15, 2020byadmin You are here: Main Clinical Examination Portal hypertension patient examination < All Topics Table of Contents Portal venous system Details of portal hypertension General examination General appearance-ill looking, pallor, altered mental state and respiratory distress, BP and PR- watch out for impending shock(Mainly to look for sign of cirrhosis) Hands and arms: Leukonychia, clubbing, palmar erythema, jaundice, pallor, spider nevi, scratch marks, bruises and Dupuytren’s contracture Eye/Neck : Jaundice, pallor and lymphadenopathy Chest : Spider nevi, loss of axillary hair and gynecomastia Lower limb: Pedal oedema Abdominal examination Inspection: Abdomen distended with ascites or lump (splenomegaly), umbilical hernia, dilated veins (check the direction of blood flow) and caput medusa Palpation: Palpable liver / spleen/ any other mass Percussion: Fluid thrill or shifting dullness Auscultation: Audible venous hum over caput medusa (Cruveilhier-Baumgarten murmur). Liver bruit Examine the genitals for testicular atrophy Per-rectal examination and proctoscope (Haemorrhoids/ blood stain) Taken from Doctrina Perpetua Clinical Surgery 2nd edition*We do not own this youtube video, it’s for sharing purpose

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