Proper identification of fatty liver!
With moderate and severe fatty liver in chronic hepatitis have similar performance, may have loss of appetite, fatigue weakness, nausea, vomiting, weight loss, liver or right upper quadrant pain and so on. Mild enlargement of the liver may have tenderness, texture is slightly tough, blunt the edge, surface smooth, a small number of patients may have splenomegaly and liver palms.
When the liver when too much fat deposition will enable the expansion of the liver capsule, liver ligaments stretch, causing severe right upper abdominal pain or tenderness, fever, leukocytosis, often misdiagnosed as acute abdomen and for laparotomy. Vesicle breakdown of fat, the fat particles into the blood may also cause brain, fat embolism and pulmonary vascular sudden death. If the accumulation of fat oppression sinusoidal liver cells or small bile duct, the portal vein blood flow and excretion of bile obstruction, portal hypertension, and there cholestasis. A result of acute chemical poisoning, drug poisoning or acute fatty liver of pregnancy, their clinical manifestations Duocheng acute or subacute hepatic necrosis of the performance, easy to be confused with severe hepatitis.
In addition, the fatty liver disease were also often glossitis, angular cheilitis, skin ecchymosis, limb numbness, limb paresthesia, peripheral neuritis and other changes. A small number of patients may also have gastrointestinal bleeding, gum bleeding, epistaxis and so on. Patients with severe fatty liver may have ascites and lower extremity edema, electrolyte imbalance such as hyponatremia, hypokalemia and so on, the performance of a variety of fatty liver in case of diagnostic difficulties, do liver biopsy diagnosis.