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Abdominal Examination (Peripheral Stigmata (General (General condition of…

- - - - Clubbing
        
        Abdominal Clubbing ΔΔ
        
        Cirrhosis: esp. w/ PBC
        
        IBD
        
        Coeliac
        
        GI lymphoma
      - Leukonychia
      - Terry’s nails
        
        White ground glass nail
        Loss of lunula
        Pink tips
      - Palmer erythema
      - Dupuytron’s contracture
      - Asterixis
    - - Koilonychia
      - Pale palmer creases
  - - - Keiser Fleischer rings
      - Pale conjunctivae
      - Jaundice
      - Xanthelasma
    - - Telangiectasia: HHT
      - Pigmented macules: Peutz-Jehgers
      - Stomatitis and glossitis
      - Ulceration
      - Jaundice
  - - - Central arteriole w/ radiating vessels
      - Fill from the centre
      - Telangiectasia fill from edge
      - Distribution of SVC
      - 4 abnormal
      - ΔΔ: CLD, OCP, pregnancy