SIGNS AND SYMPTOMSOF

LIVER DISEASESAnith T V

Classic Symptoms Of Liver Disease

Nausea Vomiting Rt Hypochondrial Pain Jaundice Fatigue Clay coloured stools High coloured urine

Weakness Easy Bruising Itching Weight loss Gynaecomastia Impotence Ascites Muscle Wasting

Signs and Symptoms In Head and Neck

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Alopecia Jaundice Bitot’s spots Subconjunctival Hemorrhage Anemia

6. Keyser – Fleischer ring ( Wilsons disease ) 7. Parotid Swelling 8. Supraciliary madarosis 9. Spider naevi

Signs and Symptoms In Chest1.

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4.

Loss of body hairGynacomastiaSpider naeviScratch Marks

Signs and Symptoms In Upper Limb

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Clubbing Leuconychia Bruising Flapping tremor Duputryen’s Contracture Palmar Erythema

Signs and Symptoms In Abdomen

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6.

ScarsAbdominal distensionCaput medusaeHepatomegalySplenomegalyAscites

6. Palpable Gall Bladder 7. Hepatic Bruit 8. Tumor

Signs and Symptoms In Lower Limb

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3.

Pedal EdemaEasy BruisingScratch Marks

Other Features…

Fetor Hepaticus ( sweetish faecal smell of the breath )

indicates severe hepatocellular failure.

Paper money skin ( thinning of the skin )

Hepatic encephalopathy (disturbed consciousness, altered sleeppersonality changes, intellectual disturbances and asterixis)

Testicular atrophy and loss of libido.

Bounding pulse.

Hepatic Facies

Shunken eyes

Hollowed temporal fossa

Pinched up nose with malar symptoms

Parched lips

Muddy complexion of face

Icteric change of conjunctiva

Shallow and dry face

Clinical Features of alcoholic liver cirrhosis

Bilateral enlarged ParotidsDupuytrens contractureGynaecomastiaTesticular atrophyMuscle wasting and loss of body hair.

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