There is no previous history of liver disease. Physical examination shows jaundice. The abdomen could not be examined adequately because of the surgical wound. Telangiectasias 27.A 64 year old man with thirty years of hypertension, has weakness of arms and legs for seven months. He takes enalapril and colchicine daily.
Physical examination reveals inability to rise from a chair, proximal arm weakness.
The creatinine is 4.6 and CPK 1,600. 33.A 52 year old alcoholic man is admitted to the hospital with fever, cough productive of putrid sputum, and a chest radiographic finding of a thick-walled cavity in the superior segment of the right lower lobe. The patient has a history of severe wheezing with use of penicillin.