Management of hepatic encephalopathy in hospital
var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' 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 functionEpidemiology50 percent of cirrhosis patients develop HE, and prognosis fo...
Source: neurologyminutiae - Category: Neurologists Source Type: blogs
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