Describe symptoms: |
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For how many days have the symptoms been present? |
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How old is the patient? |
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How many ounces of wine or liquor does the patient consume each day? |
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For how many weeks have the liver tests been elevated? |
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Does the patient have yellow skin? |
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Does the patient have abdominal swelling? |
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Does the patient have abdominal pain? |
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Does the patient have swollen ankles? |
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Has the patient been exposed to blood transfusions, intravenous drugs, or persons with hepatitis? |
Yes No |