Immediately below is an excerpted statement that I frankly found surprising. Any comments or feedback welcome - thank you!!
Quoting the Merck Manual:
"Clinical signs that suggest a chronic liver disorder or chronic alcohol use but ARE NOT SPECIFIC FOR CIRRHOSIS** include muscle wasting, palmar erythema, parotid gland enlargement, white nails, clubbing, Dupuytren's contracture, spider angiomas (< 10 may be normal), gynecomastia, axillary hair loss, testicular atrophy, and peripheral neuropathy."
** emphasis added. This statement seems to suggest that one could be presenting with any or all of these symptoms - and yet still not be cirrhotic. Presumably it's saying that F3 status...a seriously damaged/fibrotic liver that's not yet cirrhotic...could present with any or all of these symptoms.
My question is twofold:
(a) Is the above an accurate statement? Do you have a differing interpretation... and/or remarks?
(b) What is the likelihood of frank cirrhosis in a mildly anemic patient with all normal LTFs and a platelet count of 271,000? Does such a 'fully normal' platelet count necessarily preclude frank cirrhosis?
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.