Body part/systemExamination finding
GeneralMuscle wasting
Central nervous systemAsterixis (tremor of the hand with wrist extension)
Drowsiness, confusion
HeadFetor hepaticus: sweet odor of the breath attributable to increased concentrations of dimethyl sulfide
Jaundice: may see yellowing of mucous membranes beneath the tongue
Parotid enlargement
Scleral icterus
Spider nevi
ChestGynecomastia
Spider nevi
Thinning axillary hair
AbdomenAscites
Caput medusae (engorged superficial epigastric veins radiating from the umbilicus)
Contracted or enlarged liver
Hemorrhoids
Splenomegaly
Hands and nailsClubbing
Dupuytren contracture (progressive fibrosis of palmar fascia, resulting in limited extension of the fingers)
Palmar erythema
Terry nails (whiteness of proximal half of nail plate)
Genitourinary (male)Testicular atrophy
Lower extremitiesDistal erythema
Edema
Petechiae