Reversible altered mental and neuromotor functioning in association with acute or chronic liver disease and/or portosystemic shunting
Wide spectrum of neurological/psychiatric abnorma...
Age 10 to 60 years
Five grades of confusion and degree of obtundation (West...
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...
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 is the cornerstone of therapy for HE
Asterixis (“li...
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