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General inspection |
· Conscious state: ↑↓↔ · Colour: pale, yellow · Body habitus: cachexia, abdominal distension |
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Vital signs |
· Nothing in particular |
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Hands |
· CLD: clubbing, leukonychia, palmar erythema · Liver failure: asterixis |
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Head and neck |
· Eyes: scleral icterus · Mouth: foetor hepaticus, gingivitis, atrophic glossitis · Neck + axilla: lymph nodes |
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Thorax |
· CLD: gynaecomastia, spider naevi |
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Abdomen |
· Inspection: distension, scars, scratch marks, capita medusae · Palpation: all quadrants, liver edge, spleen, kidneys · Percussion: liver size, ascites · Auscultation: bowel sounds |
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Nether regions |
· Hernial orifices · Inguinal lymph nodes · Scrotum if male · Rectum |
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Bedside test |
· Urinalysis |
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