Hepatic Encephalopathy | Pathophysiology, Triggers, Signs & Symptoms, Diagnosis, Treatment

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Publicado 2022-08-31
Hepatic Encephalopathy | Pathophysiology, Triggers, Signs & Symptoms, Diagnosis, Treatment

End-stage (or advanced) liver disease can cause a variety of complications, and signs and symptoms. One complication is the syndrome known as Hepatic Encephalopathy, which is a reversible syndrome involving neuropsychiatric abnormalities caused by an elevation in neurotoxin levels. In this lesson, we discuss this syndrome, the proposed pathophysiology behind why it occurs, the signs and symptoms and staging of Hepatic Encephalopathy, how it’s diagnosed and how it’s treated by clinicians.

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JJ

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Todos los comentarios (21)
  • @marisapaola9010
    My beautiful mother suffered this, nafld. Missed by her gp until we rushed her to ED Dept. Her gp actually gave her more toxic drugs, It was avoidable and a cruel and painful way to die. She didn't deserve it. Rest in peace, my darling. Beni Nero Paola 1937-2018. 🕊️❤️
  • @DrsundasMD
    Such a great great stough packed in a mini pakage. No better lecture can be found than this on Hepatic encephalopathy. Thank alot 💯🔥
  • @perishing
    Thank you doctor for helping me in my study.❤
  • Thanks for the information!...not EVERYTHING surrounds drinking excess alcohol & alcoholism destroying the liver...but there is 9 avenues (or more) leading to this condition
  • @EdurtreG
    In my workplace (psych ward general hospital) it is often nog recognized. Thank you for this info.
  • @JimMyung
    Got this from Lyme. Milk thistle and Lactulose seems to help for now. 👍
  • Probiotics, NAC, Nicotinamide, hydroxzine and ssris can help too
  • My GP turned me away for being too late for the in-between ER visits appointment… she would have seen my face and known I needed hospitalization immediately—or would she have??? I was on a psych floor at the major hospital that got me THE NEXT DAY. Still NO DIAGNOSIS. Just “an alcoholic with ESLD and ascites…” but I hadn’t had alcohol for eight months by this time. Please please lord educate the doctors and nurses It was under treated HE, it was soooooo bad and even the psychiatrist just put “psychosis “
  • @maytedrew8638
    I appreciate the presentation. However, the big question does other medical Professionals know this? I am certain that they do not. My brother who we knew based on his symptoms that he had cirrhosis with extended abdomen. He was hospitalized with constant blood work, ultrasounds, and giving him lactulose with diuretic in which and his cognitive ability slowing down daily. No diagnosis of HE was even considered, no MRI on the abdomen, no additional treatment. He went back home to CA where the medical care was worse. Eventually with my other brother as his caregiver, he was hospitalized where in 2 weeks' time with same treatment, he was diagnosed with last stages of liver failure and put in hospice. He died one day later. This is where all the information that is available to treat this does not amount to nothing without medical professionals and I mean physicians, specialists, and even nurses understanding that every day with this condition is critical to the surviving this horrible condition. With a culture of drug and alcohol abuse out of control, this condition will be on the rise and prevalent. Lets see how quickly the medical profession will jump on early treatment rather scratching their head while their patient is dying and emotionally killing their loved ones. The medical profession has a lot to answer for as a whole regarding so many issues.
  • It's scary as hell. I hallucinated that I died. Everything went black and I lost my vision and hearing. Then I remember touching my hand and realizing I wasn't dead.
  • @ziyya
    Hi, how to get in touch with you? I have some questions for you , thanks 😊