| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
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This
is all adding up to a disaster for Mr. Weiser. He has at least three
major alcohol related diseases, and very likely the beginning of hepatic
encephalopathy.
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Alcoholic cirrhosis combined
with the manifestations of portal hypertension and esophageal varices.
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Acute gastritis.
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Acute alcoholic hepatitis.
So what's with hepatic encephalopathy,
and how do we know if Mr. Weiser's developing it?
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A complex neuropsychiatric
condition associated with advanced liver diseases, especially in
people with marked portosystemic shunting.
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Thought to be related to inadequate
removal of nitrogenous wastes by the liver.
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Ammonia is the easy parameter
to follow, although it is not the only agent responsible for the
condition.
Wow, I can't get enough of this,
isn't there more?
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