Podcast
Questions and Answers
Quel est le signe clinique qui suggère une cirrhose du foie?
Quel est le signe clinique qui suggère une cirrhose du foie?
Qu'est-ce que l'angiome stellaire peut suggérer?
Qu'est-ce que l'angiome stellaire peut suggérer?
Quel signe peut être associé au syndrome hépato-pulmonaire?
Quel signe peut être associé au syndrome hépato-pulmonaire?
Qu'est-ce que la présence d'une vésicule biliaire palpable peut suggérer?
Qu'est-ce que la présence d'une vésicule biliaire palpable peut suggérer?
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Qu'est-ce que l'astérixis peut également indiquer?
Qu'est-ce que l'astérixis peut également indiquer?
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Study Notes
- Inspection of patient for presence of jaundice, starting with conjunctival examination
- Higher bilirubin levels indicate more widespread jaundice on skin
- Presence of clinical signs of liver failure and portal hypertension, such as ascites or collateral circulation, suggest chronic liver disease (cirrhosis)
- Presence of palpable gallbladder suggests obstructive tumor or lithiasis
- Angiome stellaire (arterial malformation) often associated with liver failure, but not completely specific
- Examination of hands important, looking for Hippocratisme digital, erythrose palmaire, and astérixis
- Hippocratisme digital and cyanosis associated with hepato-pulmonary syndrome
- Erythrose palmaire also found in pregnancy
- Astérixis not completely specific, also seen in metabolic encephalopathy, hypercapnic encephalopathy, and renal failure with encephalopathy
- Overall, these signs and symptoms can suggest liver disease but are not completely specific and require further investigation.
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Description
Learn about the clinical signs and symptoms of liver disease during patient examination, such as conjunctival examination for jaundice, palpable gallbladder, and other associated findings like Hippocratisme digital and Erythrose palmaire. Understand the importance of these signs in suggesting liver-related conditions and when additional investigation may be required.
