Reversible altered mental and neuromotor functioning occurring in association with acute or chronic liver disease and/or portal systemic shunting
The prominent features are confusion,...
Preexisting liver disease
Confusion; altered mental status
Impaired arousability
Constipation
Age 10 to 60 years
Five grades of confusion and degree of obtundation (West Hav...
Identify and treat precipitating causes: GI bleeding, infection, electrolyte imbalance.
Eliminate offending medications.
Grade I or higher: Ensure adequate fluid and caloric ≥1...
Trail-making test (a pencil/paper connect-the-dots according to numbers) helps to monitor HE patients. Perio...
Ellul MA, Gholkar SA, Cross TJ. Hepatic encephalopathy due to liver cirrhosis. BMJ. 2015;351:h4187. [View Abstract on OvidMedline]
McGee RG, Bakens A, Wiley K, et al. Probioti...
K72.90 Hepatic failure, unspecified without coma
K72.91 Hepatic failure, unspecified with coma
13920009 Hepatic encephalopathy (disorder)
72836002 Hepati...
HE includes a spectrum of neuropsychiatric findings occurring in patients with significant alterations in hepatic function.
Lactulose is a cornerstone of therapy for HE.
Asterixis (“live...
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