Management of hepatic encephalopathy in hospital

var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "' type='text/javascript'%3E%3C/script%3E")); Review ArticleLeise MD, Poterucha J, Kamath PS et. al.  Management of hepatic encephalopathy in the hospital.  Mayo Clin Proc 2014; 89(2) 241-253.Working Party for hepatic encephalopathy nomenclature:Type A HE-- secondary to liver failureType B HE enteric hyperammonemia without liver diseasevar pageTracker = _gat._getTracker("UA-3639768-12"); pageTracker._initData(); pageTracker._trackPageview(); Type C  -- is associated with some liver disease.Severity Grades I-IV scale 0 normalMHE normal exam,  nild changes visuoperceptive or psychometric testsI Personality change, attention ddeficit, irritability, depressed state, tremor, dyscoordination2  Changes sleep/wake cycle,letharygy , mood, behavioral/ cognitive changes; asterixus, ataxic gait, slow/slurred speech3  Somnolence, confusion , disorientation, amnesia; muscle rigidity, nystagmus, clonus, Babinski sign, hyporeflexia4  stupor and coma; oculocephalic reflexes, unresponsiveother scale SONIC (spectrum of neurocognitive impairment in cirrhoses)covert HE (CHE) includes minimal HE (MHE) and grade I HE overt HE encompasses grade II-IV.  Also episodic HEpersistent HE impairs day to day executive functionEpidemiology5...
Source: neurologyminutiae - Category: Neurologists Source Type: blogs

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