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Introduction  | Ascites  | Cholestasis  | Enlargement of Liver  | Jaundice  | Liver Encephalopathy
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Liver Introduction



Liver disease can manifest itself in many different ways. Manifestations of liver disease that are particularly important include jaundice (a yellowish discoloration of the skin and the whites of the eyes), cholestasis (reduction or stoppage of bile flow), liver enlargement, portal hypertension (abnormally high blood pressure in the veins that bring blood from the intestines to the liver), ascites (accumulation of fluid in the abdominal cavity), liver (hepatic) encephalopathy (a liver disorder in which toxins build up in the blood, leading to brain dysfunction), and liver failure.

Sometimes the manifestations of liver disease are not obvious. For example, symptoms may include fatigue, a feeling of unwellness, loss of appetite, and mild weight loss, yet these symptoms are also typical of many other diseases. Thus, liver disease can easily be overlooked, particularly in its early stages.

Major Clinical Features of Liver Disease

  • Jaundice
  • Enlarged liver
  • Fluid in the abdomen
    (ascites)
  • Confusion
    from deterioration of brain function due to buildup of toxins in the blood (encephalopathy)
  • Gastrointestinal bleeding
    from varices (large, tortuous veins)
  • Portal hypertension
    (unusually high blood pressure in the portal vein)
  • Skin
    • Spiderlike blood vessels
    • Red palms
    • Bright red complexion
    • Itching
  • Blood
    • Decreased number of red blood cells (anemia)
    • Decreased number of white blood cells (leukopenia)
    • Decreased number of platelets (thrombocytopenia)
    • A tendency to bleed (coagulopathy)
  • Hormones
    • High levels of insulin but poor response to it, leading to high blood sugar levels
    • Cessation of menstrual periods and decreased fertility (in women)
    • Impotence and feminization (in men)
  • Heart and blood vessels
    • Increased heart rate and amount of blood pumped
    • Low blood pressure (hypotension)
  • General
    • Fatigue
    • Weakness
    • Weight loss
    • Poor appetite
    • Nausea
    • Fever




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