TY  - CHAP
M1  - Book, Section
TI  - Chapter 419. Evaluation of the Infant and Child with Liver Disease
A1  - Squires Jr., Robert H.
A2  - Rudolph, Colin D.
A2  - Rudolph, Abraham M.
A2  - Lister, George E.
A2  - First, Lewis R.
A2  - Gershon, Anne A.
Y1  - 2011
N1  - 
T2  - Rudolph's Pediatrics, 22e
AB  - Evidence  of  liver  disease  in  children  may  take  different  forms.  Physical  findings  are  the  most  obvious  and  include  jaundice,  hepatomegaly  (with  or  without  splenomegaly),  and  ascites.  More  subtle  physical  findings  in  chronic  liver  disease  include  prominent  abdominal  vessels  that  extend  from  the  upper  abdomen  to  the  chest  and  hemorrhoids  seen  with  portal  hypertension,  palmar  erythema  (eFig.  419.1),  spider  nevi  (eFig.  419.2)  digital  clubbing,  isolated  splenomegaly  and  excoriations  of  the  skin  due  to  pruritus.  An  evaluation  and  management  of  nutritional  deficiencies  due  to  liver  disease,  pruritus,  variceal  bleeding  and  ascites  are  further  discussed  in  Chapter  425.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=7038514
ER  -