What symptom is NOT typically associated with acute liver failure?

Weight gain is not typically associated with acute liver failure. In fact, acute liver failure often leads to weight loss or a lack of weight gain due to the loss of appetite, nausea, and fluid shifts resulting from liver dysfunction.

On the other hand, altered mental status (AMS), bleeding, and jaundice are hallmark symptoms of acute liver failure. AMS arises from the accumulation of neurotoxins, particularly ammonia, which the liver would normally help to process and eliminate. Bleeding occurs due to coagulopathy resulting from the liver's reduced ability to produce clotting factors. Jaundice is the most visible clinical sign of liver dysfunction, reflecting the liver's inability to process bilirubin, leading to its accumulation in the bloodstream.