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Anamnese und körperliche Untersuchung

  • H. Dancygier
Chapter

Zusammenfassung

Gerade in einer Zeit der zunehmenden Technisierung der Medizin bleiben Anamnese und körperliche Untersuchung, nicht zuletzt aufgrund gesundheitsökonomischer Erwägungen, unverzichtbare Grundlagen der Diagnostik von Leber- und Gallenwegserkrankungen. Bei der überwiegenden Mehrzahl der Patienten erlauben diese ärztlichen Grundfertigkeiten die korrekte diagnostische Einschätzung und sind wegweisend für Auswahl und Einsatz weiterführender apparativer Verfahren.

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Literatur

  1. Angeli P, Albino G, Carraro P et al. (1996) Cirrhosis and muscle cramps: evidence of a causal relationship. Hepatology 23: 264–273PubMedCrossRefGoogle Scholar
  2. Bean WB (1945) The cutaneous arterial spider: a survey. Medicine (Baltimore) 24: 243–331Google Scholar
  3. Castell DO, O’Brien KD, Muench H et al. (1969) Estimation of liver size by percussion in normal individuals. Ann Intern Med 70: 1183–1189PubMedGoogle Scholar
  4. Cattau EL, Benjamin SB, Knuff TE et al. (1982) The accuracy of the physical examination in the diagnosis of suspected ascites. JAMA 247: 1164–1166PubMedCrossRefGoogle Scholar
  5. Cavanaugh J, Niewoehner CB, Nuttall FQ (1990) Gynecomastia and cirrhosis of the liver. Arch Intern Med 150: 563–565PubMedCrossRefGoogle Scholar
  6. Cummings S, Papadakis M, Melnick J et al. (1985) The predictive value of physical examination for ascites. West J Med 142:633–636Google Scholar
  7. McIntyre N (1999) Symptoms and signs of liver disease. In: Bircher J, Banhamou J-P, McIntyre N, Rizzetto M, Rodés J (eds) Oxford textbook of clinical hepatology, 2nd ed. Oxford University Press, pp 479–499Google Scholar
  8. Meidl EJ, Ende J (1993) Evaluation of liver size by physical examination. J Gen Intern Med 8: 635–637PubMedCrossRefGoogle Scholar
  9. Naylor CD (1994) Physical examination of the liver. JAMA 271: 1859–1865PubMedCrossRefGoogle Scholar
  10. Ruiz MA, Saab S, Rickman LS (1997) The clinical detection of scleral icterus:observation of multiple examiners. Mil Med 162: 560–563PubMedGoogle Scholar
  11. Reynolds TB (1973) The “butterfly” sign in patients with chronic jaundice and pruritus. Ann Intern Med 78: 545–546PubMedGoogle Scholar
  12. Simel DL, Halvorsen RA, Feussner JR (1988) Quantitating bedside diagnosis: clinical evaluation of ascites. J Gen Intern Med 3: 423–428PubMedCrossRefGoogle Scholar
  13. Skrainka B, Stahlhut J, Fulbeck CL et al. (1986) Measuring liver span: bedside examination versus ultrasound and scintiscan. J Clin Gastroenterol 8: 267–270PubMedCrossRefGoogle Scholar
  14. Sullivan S, Krasner N, Williams R (1976) The clinical estimation of liver size: a comparison of techniques and an anlysis of the source of error. Br Med J 2: 1042–1043PubMedCrossRefGoogle Scholar
  15. Theodossi A, Knill-Jones RP, Skene A (1981) Inter-observer variation of symptoms and signs in jaundice. Liver 1: 21–32PubMedGoogle Scholar
  16. Venencie PY, Cuny M, Samuel D et al. (1988) The “butterfly” sign in patients with primary biliary cirrhosis. J Amer Acad Dermatol 19: 571–572CrossRefGoogle Scholar
  17. Williams JW, Simel DL (1992) Does this patient have ascites? How to divine fluid in the abdomen. JAMA 267: 2645–1648PubMedCrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 2003

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  • H. Dancygier

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