Signs and Symptoms In Chest1.2.3.4.
Loss of body hairGynacomastiaSpider naeviScratch Marks
Signs and Symptoms In Upper Limb1.•••••
Clubbing Leuconychia Bruising Flapping tremor Duputryen’s Contracture Palmar Erythema
Signs and Symptoms In Abdomen1.2.3.4.5.6.
ScarsAbdominal distensionCaput medusaeHepatomegalySplenomegalyAscites
6. Palpable Gall Bladder 7. Hepatic Bruit 8. Tumor
Signs and Symptoms In Lower Limb1.2.3.Pedal EdemaEasy BruisingScratch Marks
Other Features…
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.
Hepatic Facies
Shunken eyesHollowed temporal fossaPinched up nose with malar symptomsParched lipsMuddy complexion of faceIcteric change of conjunctivaShallow and dry face
Clinical Features of alcoholic liver cirrhosis
Bilateral enlarged ParotidsDupuytrens contractureGynaecomastiaTesticular atrophyMuscle wasting and loss of body hair.