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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.[brainscape.com] A physician can sometimes identify early stages of cirrhosis by gently pressing the abdomen to determine whether the liver is enlarged and firm.[nmihi.com] During later stages of the disease the liver shrinks, causing an enlarged spleen which a physician may also identify by gently touching the abdomen.[nmihi.com]

  • 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[…][ncbi.nlm.nih.gov]

  • Primary Biliary Cirrhosis

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

  • Cryptogenic Cirrhosis

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

  • Leukemia

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

  • Alcoholic Liver Disease

    […] to avoid progression of liver disease post HCV cure.[ncbi.nlm.nih.gov] 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[clinicaladvisor.com] The blood tests confirmed that Rachael's liver wasn't working very well, but this falls short of establishing a firm diagnosis.[open.edu]

  • Amyloidosis

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

  • 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[ncbi.nlm.nih.gov] Bilateral cervical and supraclavicular lymph nodes are palpable; the nodes are firm, nontender, and 1 to 2 cm in size.[pedsinreview.aappublications.org] Bleeding is usually manifested by petechiae, easy bruising, epistaxis, bleeding gums, or menstrual irregularity. Hematuria and GI bleeding are uncommon.[web.archive.org]

  • Stevens-Johnson Syndrome

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

  • 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[clinicaltrials.gov] The diagnosis of acute alcoholic hepatitis will be based on clinical features and testing including hepatomegaly, jaundice, fever, leukocytosis, compatible liver biochemistries[clinicaltrials.gov]

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