System Physical examination findings Clinical complications CNS Hematologic Altered mental status Splenomegaly Petechiae/purpura Ecchymosis Pallor Bounding pulses Systolic flow murmur Warm extremities Abdominal distention/ascites Peripheral vasodilation/palmar erythema Edema Venous hum over collateral vessels Hepatomegaly Splenomegaly Nausea/vomiting Melena/hematochezia Hematemesis Abdominal pain/fever Dilated abdominal vasculature Abdominal distention/pain Jaundice Fetor hepaticus (rare in children) Spider angiomas Hepatic encephalopathy Thrombocytopenia Leukopenia Anemia Dyspnea Hypoxemia Hepatopulmonary syndrome Circulatory GI Pulmonary Hypotension Ascites Hepatorenal syndrome Hepatopulmonary syndrome Portopulmonary hypertension Gastroesophageal varices Recta varices Congestive/hemorrhagic gastritis Ascites Spontaneous bacterial peritonitis