Let's talk about how, when
there is liver damage,
that the brain is not
The pranchoma, welcome to hepatic
This is reversible decline in
The fact that you can even find
cognitive function to be reversible
is quite interesting.
And actually limits the number
if you are able to take
care of the liver,
then you'll notice the decline of
cognitive function improves.
Believed to be due to bypass
Meaning to say, that maybe your
instead of being properly
detoxified in the liver,
ends up in your head.
hepatic encalopathy asterixis
Often precipitated by bleeding
Diagnosis is clinical
supported by elevated
Clinical presentation. Grades, you have
0-4 by West Haven Criteria.
Alterations of behavior to frank coma.
Asterixis, hyperreflexia and fetor
are clinical presentations that
you want to keep in mind
when reading a stem of a question
and they want you to think along
that the liver is severely compromised.
You treat the underlying
Avoid narcotics and, sedatives.
Airway protection for frank coma.
Remember, your patient is
already in a state of brain damage.
And so, therefore
by giving a patient a sedative,
you're only making matters worse.
bind perhaps the ammonia and then
relieve some of the