PPT-Interpretation and utility of ammonia level in Hepatic Ence

Patrick Fleming MD Henry Ford EM PGY3 Goals and Objectives Review definitionclassification of hepatic encephalopathy HE and its pathophysiology Review differential diagnosis clinicallaboratory findings and management of HE. Ammonia reacts with ketogl utaric acid KGA and reduced nicotinamide adenine dinucleotide phosphate NADPH in the presence of gl utamate dehydrogenase GDH to form gl utamate and oxidized nicotinamide adenine dinucleotide phosphate NADP as follows GDH The Haber process. The Haber process. What do we need?. Nitrogen – Fractional distillation of air. Hydrogen – From natural gas, CH. 4. (reforming). Also electrolysis of water.. Where do we get the nitrogen and hydrogen?. Haley Kerby. Madison Peddicord. Jessica Kennedy. What is ammonia?. Most commonly produced industrial chemical in the United States. NH. з. Part of the nitrogen cycle. Produced in soil through bacterial processes and naturally through decomposition of organic matter (animals, plants, and animal wastes). 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. Senior Researcher Brian H. Jacobsen . Institute of Food and Resource Economics. University of Copenhagen. E-mail: Brian@foi.dk. . Content. Reducing ammonia in Europe – until now. Measures to reduce emissions in DK. 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. AHMED BAMAGA. MBBS. King Abdulaziz University Hospital. ABG Interpretation. 2. ABG Interpretation. First, does the patient have an acidosis or an alkalosis. Second, what is the primary problem – metabolic or respiratory. Dr. Ummul Khair Fatema. Presented By :. ID. Name. 2011-1-017. Shahanaz. Parvin. 2011-1-018. Rifat Jahan. 2011-1-098. Nazmun Nahar. 2011-1-128. Humayra Akhter Himu. 2011-1-208. Nigar Rashida. What is . 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 3. . Amines can be classified as primary, secondary or tertiary. . Primary amines . have one carbon attached to the nitrogen atom of the amine group. . Secondary amines . have two carbons attached to the nitrogen atom of the amine functional group. . Curtis Barry, MD. March 31, 2017. HEPATIC ENCEPHALOPATHY. Hepatic Encephalopathy. Definitions. Hepatic Encephalopathy. Potentially reversible . neuropsychiatic. abnormalities seen in patients with liver dysfunction or . There are three concepts of hepatic lobule. 1.Classical hepatic lobule. 2.Portal lobule. 3.Liver . acinus. Classical hepatic lobule. It is the structural unit of liver which appears hexagonal in outline. hepatic vein variants. To the best of our knowledge, theremorphologic classification of the AHV, or the factorspredictive of the presence of an AHV, using multidetectorspatial, contrast, and temporal Julie Menard. Cornell University. Liver Function. Recognition and detoxification of xenobiotics and endogenous wastes. Elimination of toxins. Manufacturing of substances. Storage of metabolic products.