Chin Justin, Francis Munib, Lavalliere Julie M, Lomiguen Christine M
Family Medicine, Touro College of Osteopathic Medicine, New York, USA.
Pathology, Touro College of Osteopathic Medicine, New York, USA.
Cureus. 2019 Jan 22;11(1):e3939. doi: 10.7759/cureus.3939.
Greater than two-thirds of all Hepatitis C virus (HCV) infections are chronic, leading to extrahepatic changes in the body. The objective of this article was to describe various musculoskeletal findings that can be elicited during an osteopathic structural exam in the setting of liver dysfunction along with an overview of hepatic viscerosomatics and Chapman's points. Osteopathic medicine is a branch of modern medicine that utilizes hands-on diagnosis and treatment through musculoskeletal manifestations in addition to the standard allopathic practices. Herein, we presented a case of untreated chronic HCV infection, complicated by polysubstance abuse, with positive findings on osteopathic physical exam consistent with hepatic pathology.
超过三分之二的丙型肝炎病毒（HCV）感染为慢性感染，会导致身体出现肝外变化。本文的目的是描述在肝功能不全情况下，整骨结构检查中可能出现的各种肌肉骨骼检查结果，并概述肝脏内脏躯体疗法和查普曼点。整骨医学是现代医学的一个分支，除了标准的对抗疗法外，还通过肌肉骨骼表现进行手动诊断和治疗。在此，我们报告了一例未经治疗的慢性HCV感染病例，该病例并发多种物质滥用，整骨体格检查结果呈阳性，与肝脏病理学相符。
