Across
- 3. A central red arteriole with radiating vessels on the upper body that blanches on pressure due to increased oestrogen.
- 8. Bilateral painless swelling of the parotid glands seen in alcohol-related liver disease.
- 9. Loss of muscle bulk due to malnutrition and chronic liver dysfunction.
- 10. Enlargement of male breast tissue due to an increased oestrogen-to-testosterone ratio.
- 12. Whitening of the nails due to hypoalbuminaemia.
- 13. Yellow cholesterol-rich plaques on the eyelids associated with cholestatic liver disease.
- 14. A flapping tremor of the hands on wrist extension indicating hepatic encephalopathy from ammonia accumulation.
Down
- 1. Bulbous enlargement of the fingertips with loss of the normal nail angle seen in some chronic liver diseases.
- 2. Symmetrical redness of the thenar and hypothenar eminences caused by vasodilation from raised oestrogen levels.
- 4. A musty, sweet-smelling breath caused by accumulation of volatile toxins in liver failure.
- 5. Thickening of the palmar fascia leading to fixed flexion of the fingers, commonly associated with chronic alcohol use.
- 6. Dilated veins radiating from the umbilicus caused by portal hypertension.
- 7. Yellow discoloration of the skin and sclera due to elevated bilirubin levels.
- 11. Easy bruising caused by impaired clotting factor synthesis in liver disease.