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...Cirrhosis rachel wilson doa donna m williams mdb keywords liver ascites jaundice encephalopathy edema physical examination spider nevi key points is a chronic condition that develops over many years and results in myriad of findings manysigns symptoms associated with disease are nonspecific but some find ings such as dilated abdominal veins abnormal hair distribu tion gynecomastia more specific suggest underlying early identification can guide the clinician to or der testing aimed at determining cause provide lifestyle coun seling avoid progression appropriate treatment screening recommendations introduction resulting from inflammation fibrosis leads distortion normal architecture formation nod ules this process happens slowly typically decades changes blood flow through well disruption hepatocellular function gold standard for diagnosing biopsy previously was thought be irreversible however recent evidence supports idea advanced even reversible although mortality rates carcinoma all c...