Chronic liver disease is in clinical context a disease process that involves a progressive destruction and regeneration of liver parenchyma leading to fibrosis and cirrohsis,which lasted for more than 6 months, its 5 th most common cause of death and most of time preventable. Chronic liver disease can be divided 3 broad groups : Inflammation: Ch hepatitis Cirrohsis: cause for liver transplantation Hepatocellular carcinoma Causes for chronic liver disease are following: Viral: Hepatitis B effective vaccine is available, Hepatitis C responsible for HC carcinoma and 25% turned into HC carcinoma Cytomegalovirus Epstein barr virus Yellow fever virus Toxins Alcohal overuse, rsponsible for ald Amiodrone Methotrexate Nitrofuntoin Metabolic Nonalcohlic fatty liver diseases Haemochromatosis Wilson disease Autoimune hepatitis Primary billiary cirrohsis Primary sceloring cholingitis Right heart…