Cirrhosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

Overview

Many signs and symptoms may occur in the presence of cirrhosis or as a result of the complications or causes of cirrhosis. Many are nonspecific and may occur in other diseases and do not necessarily point to cirrhosis. Likewise, the absence of any sign or symptom does not rule out the possibility of cirrhosis.

Physical Examination

Skin

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Telangectasia

Palmar erythema

Dupuytren's contracture

Dupuytren's contracture

Eyes

A Kayser-Fleischer ring in a 32-year-old patient who had longstanding speech difficulties and tremor.

Abdomen

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Caput medusae

Hypertrophic osteoarthropathy - Bilateral single lamination of new bone confined to metaphysis and diaphysis ( arrows ) and is separated from the underlying bone by a radiolucent layer.

Muehrcke's nails

Clubbing

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