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
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