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pitting oedema, weakness
alcoholism, smoker
O/E ataxic gait, ascites,…
pitting oedema, weakness
alcoholism, smoker
O/E ataxic gait, ascites, splenomegaly, haemorrhoids
PDx & DDx
PDx
Liver cirrhosis, secondary to alcoholic liver disease
- pitting oedema (hypoalbuminaemia)
- ascites, splenomegaly, haemorrhoids (portal HTN)
DDx
Hepatic
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Neoplastic
Malignancy
Primary
HCC, biliary or pancreatic carcinoma
Secondary
Liver mets
Lymphoma, leukemia
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