TY - CHAP M1 - Book, Section TI - Chapter 419. Evaluation of the Infant and Child with Liver Disease A1 - Squires Jr., Robert H. A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. PY - 2011 T2 - Rudolph's Pediatrics, 22e AB - Evidence of liver disease in children may take different forms. Physical findings are the most obvious and include jaundice, hepatomegaly (with or without splenomegaly), and ascites. More subtle physical findings in chronic liver disease include prominent abdominal vessels that extend from the upper abdomen to the chest and hemorrhoids seen with portal hypertension, palmar erythema (eFig. 419.1), spider nevi (eFig. 419.2) digital clubbing, isolated splenomegaly and excoriations of the skin due to pruritus. An evaluation and management of nutritional deficiencies due to liver disease, pruritus, variceal bleeding and ascites are further discussed in Chapter 425. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/11/04 UR - accesspediatrics.mhmedical.com/content.aspx?aid=7038514 ER -