Spider Naevi liver cannot detoxify estrogen from the blood, resulting in high levels of estrogen.
Caput Medusa- large veins due to portal hypertension
SOB due to hepato pulmonary syndrome Splenomegaly Enlarged ( early stage) or shrunken liver ( end stage) Hematuria , proteinuriadue to hepatorenal syndrome ( acute renal failure) Confusion or coma due to hepatic encephalopathy- excess NH3 in blood n enter the brain
Hematemesis n malena -due to hypertensive gastropathy- adevericosekt esophagus Pruritus-because of bile salt products deposited in the skin. Nausea n vomitting- uraemic syndrome Joint pain- Hypertrophic osteoarthropathy. Chronic proliferative periostitis of the long bones