F00574 023 g001

F00574 023 g001




Chest


Gynaecomastia A

Spider naevi A


Face

Jaundice Spider naevi Parotid swelling Rhinophyma


Xanthelasma and A jaundiced selera in a patient with chronię cholestasis

Hands

Clubbing * Dupuytrens contracture ^ Leuconychia Smooth nails (from scratching) Bruising Flapping tremor (when arms outsiretched and hands dorsiflexed -see opposite)


Palmar erythema A


Loss of body hair .

Abdomen: palpation

Hepatomegaly Splenomegay (see opposite)

Abdomen: percussion

Ascites (see opposite)

Abdomen: auscultation

Bowel sounds Hepatic bruit

Observation


Abdomen: inspection

Sears

Distension

Movement

Veins

Testicular atrophy


A Abdominal swelling in ascites


A Dilated abdominal wali veins


Unkempt

Smell of alcohol or fetor hepaticus Race

Encephalopathy


Legs

Bruising

Oedema


© Elsevier. Boon et al.: Davidson's Principles and Practice of Medicine 20e - www.studentconsult.com



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