<prompt> All are seen in cirrhosis of liver exceptEnlargement of testisGynaecomastiaAbsence of pubic and facial hairLoss of libido  <response>: A Enlargement of testes 943- Davidson 22ndClnical features of hepatic cirrhosis Hepatomegaly although liver may also be small Jaundice Ascites Circulatory changes spider telangiectasia, palmar erythema, cyanosis Endocrine changes; loss of libido, hair lossMen; gynaecomastia, testicular atrophy, impotenceWomen ; breast atrophy, irregular menses, amenorrhoea Haemorrhagic tendency; bruises, purpura, epistaxis Portal hypertension; splenomegaly, collateral vessels, variceal bleeding Hepatic portosystemic encephalopathy Other features; pigmentation, digital clubbing, Dupuytrens contractureCommon precipitants of Hepaic Encephalopathy includeA. Increased nitrogen load as in;B. Electrolyte and Metabolic imbalance such as in1. GI bleeding1. Hypokalemia2. Excessive dietary protein intake2. Alkalosis3. Azotemia3. Hypoxia4. Constipation4. HyponatremiaC. Drugs: CNS depressant agents like narcotics, tranquillizers, sedativesD. Miscellaneous conditions like; infection0, surgeryQ, superimposed acute liver disease0 Anaemia may lead to cellular hypoxia at the level of liver cells and thus ppt, encephalopathyQ Barbiturates are CNS depressant drugs and their injudicious use, therefore may precipitate hepaticQ encephalopathy, Hypothyroidism, though not mentioned as a diret precipitating, factor, may contribute towards precipitating encephalopathy by causing constipation or slowing down the intellectual and motor activity Cause of vasodilatation in spider nevi is - Estrogen Most common cause of pyogenic liver abscese is Biliary Tract InfectionsHIGH YIELD FACTS1. Octreotide Somatostatin analogue are agents of choice for medical management of variceal bleed. 2. Desmopressin is the drug of choice for central Diabetes Insipidus Pituitary DI or Neurohypophyseal DI 