Mrs. F has a history of mild heart problems, but she has been admitted to the medical-surgical floor for management of her liver failure. She is a white-haired woman in her sixties with a puffy face, overweight, and presents with yellowish skin and sclera, mild generalized edema (swelling), spider nevi (broken capillaries), high blood pressure, increased respiratory rate, and a heart rate of 59 bpm (normal is 60-100 bpm). When you ask whether she has noticed any changes lately, Mrs. F complains about dizziness and lightheadedness. She also mentions weight gain and that her slacks are too tight. She says, "They told me this disease would interfere with my digesting lipid, so I thought I'd lose weight!"
Mrs. F has spider nevi, broken skin capillaries. Normally, broken skin capillaries do not cause visible blemishes, but hers are bleeding more than usual. Could this be due to her liver problems?