Hospital Physician July 2006 61 Hepatogastrointestinal diseases typically present with abdominal pain, nausea, diarrhea, and jaundice. However, certain hepatogastrointestinal diseases can present with extraintestinal signs and symptoms that can be misleading, such as skin rash and joint pains. Joint pains can be the initial manifestation reported by the patient with a hepatogastrointestinal dis...