Once a patient develops cirrhosis or if the patient has severe disease, symptoms and signs are more prominent. In addition to fatigue, the patient may complain of muscle weakness, poor appetite, nausea, weight loss, itching, dark urine, fluid retention, and abdominal swelling.
Physical findings of cirrhosis may include
- enlarged liver
- enlarged spleen
- jaundice
- muscle wasting
- excoriations (scratches or abrasions on the skin)
- ascites (fluid-filled belly)
- ankle swelling
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