scleral icterus

scleral icterus

Physical exam Yellowing of the sclera, typical of liver disease, especially hepatitis. See Jaundice.
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The examination of the patient revealed mild scleral icterus, mild pedal edema.
Patients with cholangiocarcinoma most often present with painless jaundice and other signs of biliary obstruction: scleral icterus, dark urine, clay-colored stools, or generalized pruritus.
His physical examination was significant for scleral icterus, jaundice, and scratches on bilateral extremities due to severe pruritus.
He additionally complained of dark urine with sediments, dehydration, and scleral icterus. Laboratory evaluation revealed an aspartate aminotransferase (AST) of 13,527 U/L, alanine aminotransferase (ALT) of 8,745 U/L, and ferritin of >40,000 ng/mL.
She was noted to have scleral icterus, jaundiced palms, and scattered petechiae and purpura throughout her bilateral arms.
Upon admission he had complaints of nausea and vomiting and on exam had scleral icterus. His admission laboratory values were notable for total bilirubin of 314.5 [micro]mol/L, direct bilirubin 217 [micro]mol/L, alkaline phosphatase 5.7 ukat/L, alanine aminotransferase 52.4 ukat/L, aspartate aminotransferase 64.4 ukat/L, international normalized ratio (INR) 2.1, and prothrombin time (PT) 32.3 seconds.
Examination was remarkable for scleral icterus, ascites, and right upper quadrant tenderness, and the liver and spleen were not palpable.
A 61-year-old African American Female patient with a past medical history of sarcoidosis, hypertension, and COPD presented to the Emergency Department with unexpected weight loss, scleral icterus, and a constant dull but sometimes sharp pain in the right upper epigastric quadrant and back.
Physical examination revealed conjunctival pallor and scleral icterus. Cardiovascular and pulmonary examination were within normal limits.
The physical examination revealed jaundice, scleral icterus, purpuric macules, superficial desquamation, gingivitis (FIGURE 1), and perifollicular hemorrhages with corkscrew hairs (FIGURES 2 AND 3).
Physical examination revealed scleral icterus and mild epigastric area tenderness only.
Total bilirubin was 9.9mg/dL (<1.5mg/dL), and scleral icterus was present on exam.