@themedical_lounge: Three stigmata of chronic liver disease that share one mechanism: impaired hepatic clearance of oestrogen. Spider naevi, palmar erythema and gynaecomastia all track back to circulating oestrogen the failing liver no longer metabolises. Each is non-specific alone, spider naevi appear in pregnancy and in around 10% of healthy adults, roughly a third of cirrhotics have them, so it’s the cluster that carries the weight. Full acute abdomen breakdown in the webinar: comment “webinar” for details. Learn. Adapt. Respond #paramedic #studentparamedic #liverdisease #clinicalsigns #prehospital

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Wednesday 29 July 2026 20:12:40 GMT