Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Physical Examination of the Liver

Physical Examination of the Liver CLINICAL SCENARIO The patient in your examining room is new to the practice. He is 52 years old, emigrated from Southeast Asia about 10 years ago, and has no specific complaints except fatigue. On examination you find little of note except that his liver edge is firm, easily felt, and extends about 6 cm below the costal margin across much of the right upper quadrant. The span, by light percussion, is 17 or 18cm. Should you be concerned? What does the research literature tell us about the meaning of these findings? Ideally, the clinical meaning of physical examination findings should be established in research studies that account for the overall context, including other signs and details from the medical history. This approach is difficult in liver disease, because the physical manifestations of hepatic dysfunction are protean and many multisystem diseases affect the liver. Our focus, therefore, is on physical examination http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Physical Examination of the Liver

JAMA , Volume 271 (23) – Jun 15, 1994

Loading next page...
 
/lp/american-medical-association/physical-examination-of-the-liver-8e7ez8NXBt
Publisher
American Medical Association
Copyright
Copyright © 1994 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1994.03510470063036
Publisher site
See Article on Publisher Site

Abstract

CLINICAL SCENARIO The patient in your examining room is new to the practice. He is 52 years old, emigrated from Southeast Asia about 10 years ago, and has no specific complaints except fatigue. On examination you find little of note except that his liver edge is firm, easily felt, and extends about 6 cm below the costal margin across much of the right upper quadrant. The span, by light percussion, is 17 or 18cm. Should you be concerned? What does the research literature tell us about the meaning of these findings? Ideally, the clinical meaning of physical examination findings should be established in research studies that account for the overall context, including other signs and details from the medical history. This approach is difficult in liver disease, because the physical manifestations of hepatic dysfunction are protean and many multisystem diseases affect the liver. Our focus, therefore, is on physical examination

Journal

JAMAAmerican Medical Association

Published: Jun 15, 1994

There are no references for this article.