Which symptom is NOT typically associated with liver failure?

Elevated metabolism is not typically associated with liver failure. In fact, liver failure can lead to a decrease in metabolic functions, as the liver is responsible for various processes such as detoxifying substances, synthesizing proteins, and regulating metabolism. When the liver fails, it loses its ability to effectively perform these functions, which can result in a reduced metabolic rate rather than an increase.

In contrast, jaundice is a common symptom of liver failure that occurs due to the accumulation of bilirubin in the bloodstream when the liver cannot adequately process it. Ascites, the accumulation of fluid in the abdominal cavity, can result from increased pressure in the portal vein due to liver cirrhosis or failure. Hepatomegaly, or liver enlargement, is also often noted in liver failure as the liver may become inflamed or congested. These conditions highlight the liver's compromised function and the related systemic effects in the body, making elevated metabolism an unlikely symptom in this scenario.