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Alcohol-related%20liver%20disease Signs and Symptoms
Introduction
Patient may present with signs and symptoms related to portal hypertension:
- Abdominal wall collaterals
- Ascites
- Splenomegaly
- Venous hum
- Hepatic encephalopathy
Signs and Symptoms
Signs of Alcohol Abuse and Hepatic Injury
- Malnutrition and muscle wasting
- Jaundice
- Cutaneous telangiectasia
- Palmar erythema
- Finger clubbing
- Dupuytren’s contracture
- Rhinophyma
- Spider angioma
- Peripheral neuropathy
- Parotid gland enlargement
- Signs of gynecomastia and hypogonadism may also be present
Others
- Patient may be asymptomatic
- Hepatomegaly, which is the most common sign in patients with alcohol-related liver disease (ALD)
- Hepatic bruit
- Alcohol withdrawal (eg tremors, tachycardia, agitation, delirium tremens)
- Anorexia, weight loss
- Systemic inflammatory response syndrome (SIRS) (≥2 of the following: Heart rate >100 beats/minute, respiratory rate >12 breaths/minute, temperature >38°C or <36°C, WBC count >12,000 or <4000 mm)
