PPT-Approach to hepatic encephalopathy

By Nadia Khamees MD Internal medicine consultant Gastroenterology and liver diseases specialist A 55 years old gentle man a known case of liver cirrhosis due to chronic HBV brought to the ER by his son who noticed that his father has been disoriented through out the last 2 days Take a focused history to identify the . Patrick Fleming, MD. Henry Ford EM; PGY-3. Goals and Objectives. Review definition/classification of hepatic encephalopathy (HE) and its pathophysiology. Review differential diagnosis, clinical/laboratory findings, and management of HE. By: Michelle Russell. Case Study Presentation. NUR 4216L. 12-4-12. 1. Objectives. Understand the . pathophysiology. of hepatic encephalopathy. Recogonize. the signs/ symptoms. Understand relevance to clinical setting and patient scenarios. Other Brain Diseases. James S. Kennedy, MD, CCS, CDIP. President and Chief Medical Officer. CDIMD – Physician Champions. Smyrna, Tennessee. jkennedy@cdimd.com. – (615) 479-7021. Disclosures. This presentation is designed to provide accurate and authoritative information in regard to the subject matter covered. The information includes both reporting and interpretation of materials in various publications, as well as interpretation of policies of various organizations. This information is subject to individual interpretation and to changes over time. . Assistant . Professor of Medicine. Division of Gastroenterology and Hepatology. University . of Washington. Hepatic Encephalopathy. Last . Updated: . August 21, 2013. Disclosure Slide. Dr. Landis receives research support from the following:. Diagnostic and clinical manifestations. Hepatic disorders. Pancreatic disorders. The nursing processes. Functions of the liver. It receives nutrients-rich blood from GIT. It stores, transforms these nutrients into chemicals to be used by the body. 2017; 16 (1): 140-148 female sex, comorbid diabetes mellitus (DM), non-alcoholic causes of por- ascites as the indication for TIPS,hypoalbuminaemia, high serum creatinine, hepatofugal high Child-Pug 1. Intubate suspected variceal bleeding pre-EGD 2. Transfuse to ~8 3. Tell GI + IR to talk directly to each other, while you stabilize pt 4. Hey GI, what 2017 16 1 140-148 female sex comorbid diabetes mellitus DM non-alcoholic causes of por- ascites as the indication for TIPShypoalbuminaemia high serum creatinine hepatofugal high Child-Pugh score high Professor of Medicine. Division of Gastroenterology and Hepatology. University . of Washington. Hepatic Encephalopathy. Last . Updated: . August 21, 2013. Disclosure Slide. Dr. Landis receives research support from the following:. Curtis Barry, MD. March 31, 2017. HEPATIC ENCEPHALOPATHY. Hepatic Encephalopathy. Definitions. Hepatic Encephalopathy. Potentially reversible . neuropsychiatic. abnormalities seen in patients with liver dysfunction or . DR. SANJANA BHAGWAT. MODERATOR : DR. SHIMPA SHARMA. . DR. R MANE. TOPICS DISCUSSED : . Hepatic encephalopathy. Spontaneous bacterial peritonitis. Hepatorenal. syndrome. Hepatopulmonary. syndrome. of body functions. Clinical Physiology. Course No. – VPY- 607. Credit Hrs. – 2+1=3. Dr.. . Pramod. Kumar. Asstt. . Professor. Deptt. . of Veterinary Physiology. BVC, Patna. Hepatic disease is common in large animals. Increases in serum hepatic enzymes and total bile acid concentration may indicate hepatic dysfunction, insult, . Dr. Muntadher Abdulkareem Abdullah. M.B.Ch.B,CABM,FIBMS,FIBMS(GE.&HEP.). Acute Liver Failure:. Acute liver failure describes the clinical syndrome of severe impairment of liver function Within 6 months of the onset of symptoms, which include:.  Hepatic encephalopathy (HE) is abnormal function of the brain caused by severe liver disease.  It occurs when the liver is sick and no longer able t