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Clinical Features. Symptoms. Abdominal pain Weight loss Weakness Abdominal fullness and swelling Ascites Jaundice Obstruction of intrahepatic ducts Nausea Hematemesis Esophageal varices Bone pain. Symptoms. Abdominal pain vague RUQ pain for 3 months Weight loss Weakness
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Symptoms • Abdominal pain • Weight loss • Weakness • Abdominal fullness and swelling • Ascites • Jaundice • Obstruction of intrahepatic ducts • Nausea • Hematemesis • Esophagealvarices • Bone pain
Symptoms • Abdominal pain vague RUQ pain for 3 months • Weight loss • Weakness • Abdominal fullness and swelling distended abdomen • Jaundice acute viral hepatitis (college) icteric sclera • Nausea • Hematemesis • Esophagealvarices • Bone pain
Physical Signs • Hepatomegaly • Abdominal bruits • Ascites • Splenomegaly • Weight loss and muscle wasting • Fever
Physical Signs • Hepatomegaly • 6x7 cm solid liver mass in the right lobe • liver span=14cm • palpable, tender, nodular • Abdominal bruits • Ascites • Splenomegaly • Weight loss and muscle wasting • Fever low grade (37.8°C)
Signs of Chronic Liver Disease • Jaundice • Dilated abdominal veins • Palmarerythema • Gynecomastia • Testicular atrophy • Perpheraledema
Signs of Chronic Liver Disease • Jaundice • Dilated abdominal veins • Palmarerythema • Gynecomastia • Testicular atrophy • Perpheraledema