Colour-code of Causes

• Alcohol Use Related
• Liver synthetic function failure
  • Low Albumin → Low oncotic pressure
  • Low Coagulation Factor
• Portal Hypertension (and splenomegaly) related
• Liver metabolic function failure
  • Accumulation of Estrogen
  • Accumulation of Ammonia
  • Accumulation of Sulfar
  • Accumulation of bilirubin and bile salt

Mental status (2)

• Altered Mental Status (AMS) - hepatic encephalopathy

Hands (6)

Nail (2)

• Clubbing - Shamroth’s window
• Terry’s Nail / Leukonchia and ‣

Palm (3)

• Palmar Erythema
• Duputren’s Contracture - Alcohol use
• Sarcopenia → Thenar wasting

Movement (1)

• Asterixis