Classical Signs and Symptoms, Hepatic Facies, Signs and Symptoms of Alcoholic Liver Disease.

1. SIGNS AND SYMPTOMS
OF
LIVER DISEASES
Anith T V

2. Classic Symptoms Of Liver Disease
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Nausea
Vomiting
Rt Hypochondrial Pain
Jaundice
Fatigue
Clay coloured stools
High coloured urine

3. 
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Weakness
Easy Bruising
Itching
Weight loss
Gynaecomastia
Impotence
Ascites
Muscle Wasting

4. Signs and Symptoms In Head and Neck
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Alopecia
Jaundice
Bitot’s spots
Subconjunctival Hemorrhage
Anemia

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

6. Signs and Symptoms In Chest
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Loss of body hair
Gynacomastia
Spider naevi
Scratch Marks

7. Signs and Symptoms In Upper Limb
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Clubbing
Leuconychia
Bruising
Flapping tremor
Duputryen’s Contracture
Palmar Erythema

8. Signs and Symptoms In Abdomen
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Scars
Abdominal distension
Caput medusae
Hepatomegaly
Splenomegaly
Ascites

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

10. Signs and Symptoms In Lower Limb
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Pedal Edema
Easy Bruising
Scratch Marks

11. Other Features…
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Fetor Hepaticus ( sweetish faecal smell of the breath )
indicates severe hepatocellular failure.
Paper money skin ( thinning of the skin )
Hepatic encephalopathy (disturbed consciousness, altered sleep
personality changes, intellectual disturbances and asterixis)
Testicular atrophy and loss of libido.
Bounding pulse.

12. Hepatic Facies
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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

13. Clinical Features of alcoholic liver cirrhosis
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Bilateral enlarged Parotids
Dupuytrens contracture
Gynaecomastia
Testicular atrophy
Muscle wasting and loss of body hair.

14. THANK YOU