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63 Possible Causes for Epistaxis, Liver Firm

  • Macronodular Cirrhosis

    Epistaxis. Gynacomastia (in men). Xanthelasma/xanthoma. Dupuytren's contracture. Clubbing. Dilated chest/abdominal wall veins (caput medusae). Scratch marks.[] A physician can sometimes identify early stages of cirrhosis by gently pressing the abdomen to determine whether the liver is enlarged and firm.[] During later stages of the disease the liver shrinks, causing an enlarged spleen which a physician may also identify by gently touching the abdomen.[]

  • Portal Cirrhosis

    OBJECTIVE: To differentiate diffuse liver cancer from portal cirrhosis by using ultrasonography. METHODS: We analyzed the sonographic images of 15 patients with diffuse liver cancer and 30 patients with portal cirrhosis. RESULTS: The patients with diffuse liver cancer showed enlarged liver and obvious echo of[…][]

  • Primary Biliary Cirrhosis

    Petechiae, epistaxis, or hemorrhage resulting from hypoprothrombinemia may also be evident.[] During the physical examination, the doctor may feel an enlarged, firm liver (in about 25% of people) or an enlarged spleen (in about 15%).[] Other initial manifestations include right upper quadrant discomfort (10%); an enlarged, firm, nontender liver (25%); splenomegaly (15%); hyperpigmentation (25%); xanthelasmas[]

  • Cryptogenic Cirrhosis

    The patient improved symptomatically and did not have any further episodes of epistaxis or GI bleed.[] CARDIAC CIRRHOSIS Clinic a l featu r es · Mild jaundice · Liver dysfunction · Hepatomegaly – firm, non tender • *Ascites · Peripheral edema · Oesophageal bleeding · Encephalopathy[] The liver is typically palpable and firm, with a blunt edge, but is sometimes small and difficult to palpate. Nodules usually are not palpable.[]

  • Leukemia

    The animal with acute myeloid leukemia presents with depression, epistaxis, anemia, and severe neutropenia.[] Bilateral cervical and supraclavicular lymph nodes are palpable; the nodes are firm, nontender, and 1 to 2 cm in size.[] Affected animals present lethargy, weight loss, vomiturition, diarrhea, anorexia and, which is highly specific, recurrent epistaxis.[]

  • Alcoholic Liver Disease

    […] to avoid progression of liver disease post HCV cure.[] liver edge Often present Bruit Heard over the liver; due to increased blood flow Occasionally present Edema of legs Absent to marked Usually present Confusion, encephalopathy[] The blood tests confirmed that Rachael's liver wasn't working very well, but this falls short of establishing a firm diagnosis.[]

  • Amyloidosis

    DIAGNOSES: The initial chief complaint of this patient was frequent epistaxis and right aural fullness. The initial diagnosis was nasopharyngeal tumor.[] LESSONS: Although it is rare, nasopharyngeal amyloidosis should be considered in the differential diagnosis of epistaxis, nasal obstruction, and otitis media with effusion[]

  • Acute Lymphoblastic Leukemia

    A 30-year-old pregnant woman presented at 16 weeks' gestation with epistaxis, jaundice, diffuse abdominal pain and distension, massive hepatosplenomegaly and peripheral oedema[] Bilateral cervical and supraclavicular lymph nodes are palpable; the nodes are firm, nontender, and 1 to 2 cm in size.[] Bleeding is usually manifested by petechiae, easy bruising, epistaxis, bleeding gums, or menstrual irregularity. Hematuria and GI bleeding are uncommon.[]

  • Stevens-Johnson Syndrome

    In post-marketing experience, as with other azole antifungals, bleeding events (bruising, epistaxis, gastrointestinal bleeding, haematuria and melena) have been reported,[] OurLaw Firm has national experience in investigating, litigating and settling Stevens-Johnson syndrome and Dilantin claims.[] Stevens-Johnson syndrome, and its related diagnosis Toxic Epidermal Necrolysis (TEN), can cause widespread infection, inflammation of the heart, lung, kidney or liver, permanent[]

  • Alcoholic Hepatitis

    A liver biopsy is not mandatory, but will be required to confirm the diagnosis if a firm diagnosis of AH cannot be made on clinical and laboratory criteria Moderate severity[] The diagnosis of acute alcoholic hepatitis will be based on clinical features and testing including hepatomegaly, jaundice, fever, leukocytosis, compatible liver biochemistries[]

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