- Hepatic Encephalopathy10:10Mental Health Effects of MarijuanaFree Chapter11:33Paper Chase 1: Sample Closet Medications are Neither Novel nor Useful5:31Point of Care CRP in Kids9:39Hyperhidrosis17:40Paper Chase 2: Semaglutide and Cardio Outcomes in Patients with Type 2 Diabetes4:51Things I Do But Should I: Post-Viral Cough7:22Contributor Profile: Vanessa Cardy, MD4:00Paper Chase 3: Long-Term Oxygen for COPD with Moderate Desaturation4:43Back to Basics: Aortic Stenosis9:07Bad Rashes in Newborns17:44Evaluation and Treatment of Diarrhea22:34Paper Chase 4: Cardio Safety of Celecoxib, Naproxen, or Ibuprofen for Arthritis5:18Not So Bad Rashes in Newborns22:52Paper Chase 5: Whole Brain Radiotherapy (WBRT)5:17The Summary15:59
Hepatic encephalopathy is a frequent neuropsychiatric complication of end stage liver disease caused by accumulation of ammonia and other neuro-toxins. It begins with subtle symptoms including sleep disruption and progresses to confusion, disorientation and potentially coma. Three year mortality rates after hospital admission exceed 70%. Treatment is directed at removing ammonia through bowels movements; lactulose is the mainstay of treatment, with rifampin playing a role in refractory cases.