Chronic liver disease physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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• Increased pigmentation of the skin
• Tattoos
• Scratch marks

• Kayser-Fleischer ring
• Jaundice

• Signs of right heart failure

• Hyperventilation

• Hepatomegaly
• Ascites
• Spider nevi (angiomata)
• Caput medusae

• Dupuytren’s contracture
• Leukonychia
• Peripheral oedema
• Bruising
• Clubbing
• Palmar erythema

• Peripheral neuropathy
• Cerebellar signs
• Asterixis
• Drowsiness

• Parotidomegally
• Gynaecomastia
• Feminising hair distribution
• Testicular atrophy
• Anaemia