What are the physical findings of the hands in hepatorenal syndrome (HRS)?

Updated: Oct 16, 2017
  • Author: Deepika Devuni, MD; Chief Editor: BS Anand, MD  more...
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Hepatorenal syndrome (HRS) has no specific signs. However, detecting the stigmata of chronic liver disease is important because most patients at risk for HRS have cirrhosis. The following list of physical findings is not all-inclusive, and these findings are not present in all patients with chronic liver disease.

The hands may exhibit the following:

  • Palmar erythema

  • Leuconychia (white nails)

  • Muscle wasting

  • Asterixis (flapping tremors)

  • Clubbing

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