Primary biliary cirrhosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

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Physical Examination

On physical examination, the following may be present

Skin

• Xanthelasmata (focal collections of cholesterol in the skin, especially around the eyes)

Abdomen

• Complications of cirrhosis and portal hypertension:
  • Esophageal varices
  • Fluid retention in the abdomen (ascites)

Neurologic

• Complications of cirrhosis and portal hypertension:
  • Hepatic encephalopathy, up to coma, in extreme cases.