Hepatitis B physical examination

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

Overview

For the majority of patients with acute and chronic hepatitis B (HBV), the physical examination is normal.^[1]

The aim of the initial physical examination is to check for signs of chronic liver disease, which include the following:^[1]

Asterixis
Neurologic manifestations in cases of HBV progression to hepatic encephalopathy include a wide spectrum of cognitive impairment and motor system abnormalities.^[2]

Refer to the Cirrhosis image gallery for images of the physical findings listed above.