Reversible altered mental and neuromotor functioning in association with acute or chronic liver disease and/or portosystemic shunting
Wide spectrum of neurological/psychiatric abnorma...
Preexisting liver disease
Confusion; altered mental status
Impaired arousability
Constipation
Age 10 to 60 years
Five grades of confusion and degree of obtundation (West Haven...
Identify and treat precipitating causes: electrolyte imbalance, GI bleeding, infection
Avoid sedatives, benzodiazepines, opiates, diphenoxylate, and atropine.
Grade I or highe...
Asterixis and using the trail-making test (ask patient to connect-the-dots according to numbers) helps monit...
Acharya C, Bajaj JS. Current Management of Hepatic Encephalopathy. Am J Gastroenterol. 2018 Nov; 113 (11):1600-1612.
Konerup LS, Gluud LL, V...
K72.91 Hepatic failure, unspecified with coma
K72.11 Chronic hepatic failure with coma
K70.40 Alcoholic hepatic failure without coma
K72.90 Hepatic failure, unspecified without coma
K72.9 Hepat...
HE includes a spectrum of neuropsychiatric findings that occur in patients with significant alterations in hepatic function.
Lactulose helps reduce serum ammonia levels and is a corners...
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