Reversible altered mental and neuromotor functioning occurring in association with acute or chronic liver disease and/or portosystemic shunting
The prominent features are confusion, i...
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...
Assessment of asterixis and using the trail-making test (ask patient to connect-the-dots according to number...
Konerup LS, Gluud LL, Vilstrup H, et al. Update on the therapeutic management of hepatic encephalopathy. Curr Gastroenterol Rep. 2018;20(5):21.
McGee RG, Bakens A, Wiley K, et ...
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 that occur in patients with significant alterations in hepatic function.
Lactulose is a cornerstone of therapy for HE.
Asterixis (“liv...
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