Which of the following is a clinical manifestation of decompensated cirrhosis? (select all that apply)

Rationale: A. Decompensated cirrhosis impairs the liver’s ability to process bilirubin, leading to yellowing of the skin and eyes. B. Accumulation of ammonia and other toxins due to liver dysfunction can cause confusion, altered level of consciousness, and asterixis. C. Fluid shifts into the peritoneal cavity occur due to low albumin levels and portal hypertension, causing abdominal distention. D. While beneficial for overall health, exercise is not a clinical manifestation of cirrhosis.