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Liver Failure (unwell (cirhosis (oesophageal varices (haemetesis), spider…
Liver Failure
unwell
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mental state
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sleepy,sluggish, slurring
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cirhosis
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spider naevi, face hands trunk
blanch with pressure,refil from centre
oesteo arthritis
overweight?
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weighgain?
fluid accumulation, not cachexia/cancer
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swollen ab
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palpate liver/spleen
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trosier's sign, (virshcow's node)supra clav adenopathy, negative means no malignancy
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right il fos to right up quad liver, precus liver rule out emphysemia. smooth hepmeg cirhosis
GB pain on inhale, +ve murphy's sign
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upto left costal margin on inhale Sp+ +VE castells sign precuse 8/9 intcost space on insp/expiration
splenomegaly, hypersplenism #
percussion for shifting dullness, ascites
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