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The material links sore lips, tongue, and buccal mucosa to nutritional deficiencies (iron, folate, vitamin B12, vitamin C) and dermatological disorders. Abdominal distension is categorized by mechanisms such as obesity, flatus with pseudo-obstruction, constipation with subacute obstruction, menstrual-related factors, and functional bloating related to irritable bowel syndrome. Jaundice pathways cover increased bilirubin production from hemolysis and impaired excretion through hepatocellular, intrahepatic cholestasis, and extrahepatic cholestasis causes. Ascites etiologies include cirrhosis with portal hypertension, malignancy with peritoneal spread, hepatic vein occlusion, constrictive pericarditis, hypoproteinemia, tuberculosis peritonitis, and pancreatitis. Palmar erythema and spider naevi are tied to excess estrogen with reduced hepatic breakdown of sex steroids.",{"@graph":69,"@context":105},[70,84],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/palmar-erythema/26545/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/palmar-erythema/26545.png","ImageObject",300,407,{"name":92,"@type":93},"Ezra","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-18","2026-05-08",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction","https://schema.org",{"og:url":107,"og:type":108,"og:title":65,"og:site_name":95,"og:description":67},"https://docshare.wps.com/document/palmar-erythema/26545","article",{"robots":110,"canonical":107},"index,follow",{"doc_id":112,"site_id":62},26545,1778198768,{"code":4,"msg":5,"data":115},{"doc_id":112,"user_id":116,"nickname":92,"user_avatar":117,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":66,"file_id":118,"file_url":119,"file_type":120,"file_size":121,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":122,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":66,"faqs":66,"seo_title":123,"seo_description":67,"update_tm":113,"read_time":124},1099514068035,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","cbCaina0e9cKzQuc","https://ap.wps.com/l/cbCaina0e9cKzQuc","pdf",4791001,"English","Palmar Erythema | PDF",13]