PRACTICAL: SIGNS OF LIVER PATHOLOGY

Question 1

Peripheral Signs of CHRONIC LIVER DISEASE

Answer 1

1. Spider Navi
2. Clubbing of Hands
3. Leukonychia
4. Palmar Erythema
5. Bruising
6. Dupuytren’s contractures
7. Stretch Marks (CHOLESTATIC jaundice)
8. Pyoderma Gangrenosum

Question 2

Clubbing DUE TO: GIT CAUSE
🧠⚡C-HIB ⚡

Answer 2

1. 1° BILIARY CIRRHOSIS
2. IBD
3. HEPATOCELLULAR CARCINOMA

Question 3

PALMAR ERYTHEMA

🧠⚡ CAP² HRT⚡

Answer 3

PALMAR ERYTHEMA (BRIGHT RED PALM)
The thenar and hypothenar eminences, base and pulp of the fingers turn red in:

✨ Cirrhosis of liver (liver palms =dawson’s sign)
✨ Alcoholics
✨ Pregnancy
✨ Rheumatoid arthritis (long-continued)
✨ Thyrotoxicosis
✨ Hyperdynamic circulation, e.g. pyrexia, pregnancy
✨ Polycythaemia

Question 4

Dawson’s SIGN

Answer 4

Palmar ERYTHEMA in Cirrhosis of LIVER

Question 5

DUPUYTREN’S CONTRACTURE seen in which liver disease

Answer 5

Sign of ALCOHOLISM

Question 6

Pyoderma gangrenosum is ASSOCIATED with which LIVER PATHOLOGY

Answer 6

1. 1° BILIARY CIRRHOSIS
2. Autoimmune CIRRHOSIS
3. IBD

Question 7

Signs of CIRRHOSIS

Question 8

Tender Hepatomegaly
CAUSES
🧠⚡We HaVe Cardiac Failure ⚡

Answer 8

1. Weil’s disease
2. Hepatoma
3. Actinomycosis
4. Amoebiasis
5. Abscess of Liver (Pyogenic)
6. Viral Hepatitis
7. Cardiac failure (CHF)
8. Budd Chiari Syndrome
9. Secondaries

Question 9

⚡⚡3 MOST COMMON causes of HEPATOSPLEENOMEGALY in India

Answer 9

1. Malaria
3. Kala-azar

Question 10

HEPATOMEGALY in Liver CIRRHOSIS

Answer 10

1. Alcoholic LIVER DISEASE
2. NASH
3. Hemochromatosis
4. Transformation of Cirrhosis ➡️ HCC