Mr. Weiser's Confusion
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation
 
Stages of Hepatic Encephalopathy
 Stage
 Clinical Manifestations
   
I Apathy, Restlessness, Slowed intellect, Impaired Handwriting and Computational Skills.
   
II Lethargy, Drowsiness, Disorentation, Asterixis ("Liver flap")
   
III  Stupor, Hyperreflexia
   
IV Coma
 
 
 
So where the heck does the ammonia come from?          Back		  

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