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Across 1. foul breath 6. neurological changes from increased ammonia levels 8. medication given for increased ammonia levels 9. this enzyme is responsible to help body digest and absorb fats 10. weakened swollen veins 12. abbreviation for Hepatitis B 16. increased pressure in portal circulation 18. elevation of this enzyme can indicate pancreatic disorder 19. liver flap 20. periumbilical ecchymosis which can indicate underlying hemorrhage

Down 2. oliguria and sodium retention without kidney defects 3. fatty foul smelling stools 4. fluid in abdominal cavity from decreased albumin levels 5. gall bladder stones 7. pigment from breakdown of hgb in RBCs 11. scarring and hardening of liver from repeated inflammation 13. inflammation of the liver 14. visible veins around umbilicus 15. this sign is rare and this bruising in flank areas can indicate retroperitoneal hemorrhage 17. medication given for travelers diarrhea and increased ammonia levels