Diagnostic Evaluation Of Patients With Liver Disease

(See also liver structure and function.) History Various symptoms can lead to liver disease, but only a few are specific for liver disease: Common nonspecific symptoms include fatigue, loss of appetite, nausea and occasionally, especially for severe diseases, vomiting. Soft oily stools (steatorrhoea) arise when the cholestasis impedes the flow of bile into the intestine. Patients with steatorrhea have an increased risk of deficiency of fat soluble vitamins (A, D, E, K). Clinical consequences can be osteoporosis and bleeding. Fever can occur in both virus as well as alcoholic hepatitis. Jaundice that occurs both in hepatocellular damage as well as cholestatic diseases, represents a very specific symptom. It is often accompanied by dark urine and pale stools. Pain in the right upper quadrant due to liver disorders stir usually ago by an extension (for. Example, by passive venous congestion or tumor), or an inflammation of the liver capsule. Erectile dysfunction and feminization; However, these symptoms may be due to alcohol on the liver disease more. Risk factors for liver disease category risk factors Acquired drinking blood transfusions (especially before 1992) * Piercing * medications (prescription and non-prescription), and use of herbal products exposure to other liver toxins exposure to hepatitis viruses * needlestick injuries * Parenteral drug use * diet with shellfish * Tattoos * Family’s family history attention disorders such as primary biliary cirrhosis, hemochromatosis, Wilson disease or alpha-1-antitrypsin deficiency. * These factors increase the risk of hepatitis and the risk of liver disease in general, family history, social history and drug and substance abuse should be considered as risk factors for liver disease (see Table: Risk factors for liver disease). Physical examination Physical examination pathological findings show usually only in advanced liver disease. Some general findings point to a cause (see Table: interpretation of some clinical findings). Cirrhosis (palmar erythema) © Springer Science + Business Media var model = {thumbnailUrl: ‘/-/media/manual/professional/images/440-cirrhosis-palmar-erythema-slide-7-springer-high_de.jpg?la=de&thn= 0 & mw = 350 ‘, imageUrl’ /-/media/manual/professional/images/440-cirrhosis-palmar-erythema-slide-7-springer-high_de.jpg?la=de&thn=0 ‘, title:’ cirrhosis (palmar ) ‘, description:’ u003Ca id = “v38395196 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDieses figure shows the ruby ??color the palms

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