Liver mass physical examination: Difference between revisions

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'''Percussion'''
'''Percussion'''
*Dull percussion
*Dull percussion
'''Palpation'''
*Abdominal distention


===Musculoskeletal===
===Musculoskeletal===
 
* Edema
 
* Muscle rigidity
===Skin===
===Skin===
'''Inspection'''
'''Inspection'''
Line 59: Line 61:


*[[Confusion]]  
*[[Confusion]]  
*[[Asterixis]]


===Extremities===
===Extremities===

Revision as of 15:46, 25 March 2016

Liver Mass Microchapters

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Evaluation of Liver Mass

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Risk calculators and risk factors for Liver mass physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Overview

Physical examination findings of liver mass will depend on location and size of the tumor. Usually large liver tumors may cause pain and tenderness in palpation of the abdomen due to stretching of the liver capsule. On the other hand, liver masses with smaller size can present with no remarkable findings. Common physical examination of patients with liver mass, may include: janudice, hepatomegaly, abdominal tenderness, splenomegaly, abdominal wall vascular collaterals, and weight loss.

Physical Examination

  • The following physical examination findings may be present among patients with liver mass:

General appearance

Vital Signs

Chest

Inspection

  • Chest alopecia
  • Rapid rate of breathing

Auscultation

Percussion

  • Dull percussion
  • Reduced chest expansion

Abdomen

Inspection

Auscultation

  • Cruveilhier-Baumgarten murmur
  • Described as a venous hum in patients with portal hypertension
  • Present in patients with cirrhosis

Percussion

  • Dull percussion

Palpation

  • Abdominal distention

Musculoskeletal

  • Edema
  • Muscle rigidity

Skin

Inspection

HEENT

CNS

Extremities

Gallery

References


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