Alcoholic liver disease physical examination

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

Physical Examination

Vitals

• Fever may be present

Head and Neck

• Fetor hepaticus (breath smelling like a freshly opened corpse)
• Parotid hypertrophy
• Poor dentition
• Sceral icterus

Skin

• Jaundice
• Abnormal dark or light patches of skin
• Spider angiomata
• Gynecomastia
• Bruising or other indications of deficiency in coagulation factors

Abdomen

• Hepatosplenomegaly
• Abdominal distention
• Palpable liver edge
• Abdominal tenderness
• Ascites
• Fluid wave (due to ascites)

Genitourinary

• Testicular atrophy

Extremeties

• Muscle atrophy
• Asterixis
• Palmar erythema

Neurologic

• Confusion, coma (encephalopathy) may be present
• Evidence of Wernicke's or Korsakoff syndrome