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How to elicit the signs of liver cell failure an OSCE guide

Following are the major signs of liver cell failure
3.Constructional Apraxia
Presence of a Button-like' breast tissue on palpation below the areola In a male suggests early gynaecomastla.
5.Testicular Atrophy
If the testis is less than 3.5 cm in length, and feels soft or
Flabby on  palpation, it suggests testicular atrophy.
6.Loss of Axillary and Pubic Hairs
They become sparse initially and are totally absent in later stages.

This is very important for those students preparing for USMLE and MRCP