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         Hepatic Encephalopathy:     more books (47)
  1. Hepatic Encephalopathy: Syndromes and Therapies by Harold O. Conn, 1994-01
  2. Hepatic Encephalopathy by Alan H. Lockwood, 1992-11
  3. Cirrhosis, Hepatic Encephalopathy and Ammonium Toxicity (Advances in Experimental Medicine and Biology)
  4. Hepatic Encephalopathy in Chronic Liver Failure
  5. Hepatic Encephalopathy - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References by ICON Health Publications, 2004-10-04
  6. Cirrhosis, Hyperammonemia, and Hepatic Encephalopathy (Advances in Experimental Medicine and Biology)
  7. Advances in Hepatic Encephalopathy and Metabolic Nitrogen Exchange by Livio Capocaccia, Manuela Merli, et all 1994-12-27
  8. Advances in Cirrhosis, Hyperammonemia, and Hepatic Encephalopathy (Advances in Experimental Medicine and Biology)
  9. Hepatic Encephalopathy: Management With Lactulose and Related Carbohydrates by Harold O. Conn, 1988-10
  10. Hepatic Encephalopathy and Nitrogen Metabolism
  11. Hepatic Encephalopathy, Hyperammonemia and Toxicity (Advances in Experimental Medicine and Biology)
  12. Hepatic Encephalopathy: Pathophysiology and Treatment (Experimental Biology and Medicine) by Roger F. Butterworth, Gilles Pomier Layrargues, 1989-10-01
  13. Progress in Hepatic Encephalo & Metabolic Nitrogen by Bengt Jeppsson, Finn Bengtsson, 1991-04-24
  14. Encephalopathy and Nitrogen Metabolism in Liver Failure

1. Chapter 14 - Section 13: First Principles Of Gastroenterology
Section of GI textbook, provides definition, causes, and treatments. Tables includegrading scale and common causes by type.
http://gastroresource.com/GITextbook/En/Chapter14/14-13.htm
- Select a chapter - 1. Symptoms and Signs 2. Nutrition 3. Ethics 4. Research/Clinical Trials 5. Esophagus 6. Stomach and Duodenum 7. Small Intestine 8. Intestinal Ischemia 9. H.I.V. 10. Inflammatory Bowel 11. Colon 12. Pancreas 13. Biliary System 14. Liver 15. Paediatrics 16. Video Endoscopic Images Search
Chapter 14:
Liver
Sections:
1. Liver Structure and Function 2. Approach to the Patient with Liver Disease 3. Congenital Hyperbilirubinemia 4. Acute Viral Hepatitis ...
Acknowledgements

13. Hepatic Encephalopathy / L.J. Worobetz page 537 Hepatic encephalopathy (HE) is a complex, potentially reversible neuropsychiatric condition that occurs as a consequence of acute or chronic liver disease. It is characterized by changes of personality, consciousness, behavior and neuromuscular function ( Table 20 ). Early features include reversal of sleep pattern, apathy, hypersomnia, irritability and personal neglect. In later stages, delirium and coma may occur. Neurologic signs may include hyperreflexia, rigidity, myoclonus and asterixis. Asterixis is not specific to hepatic encephalopathy and may be present in other causes of metabolic encephalopathy. Seizures and lateralizing signs are uncommon and are more commonly seen in acute than chronic liver failure. Clinically, a number of encephalopathic patterns can be observed: acute, acute recurrent, chronic recurrent and chronic permanent encephalopathy (the last often forms part of the spectrum of acquired hepatocerebral degeneration).

2. MedlinePlus Medical Encyclopedia: Hepatic Encephalopathy
Illustrated article that discusses the causes, signs and symptoms, treatment,and complications.
http://www.nlm.nih.gov/medlineplus/ency/article/000302.htm
@import url(/medlineplus/images/advanced.css); Skip navigation
Medical Encyclopedia
Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z
Hepatic encephalopathy
Contents of this page:
Illustrations
Digestive system organs Alternative names Return to top Hepatic coma; Encephalopathy - hepatic Definition Return to top Hepatic encephalopathy is brain and nervous system damage that occurs as a complication of liver disorders. It is characterized by various neurologic symptoms including changes in reflexes, changes in consciousness , and behavior changes that can range from mild to severe. Causes, incidence, and risk factors Return to top Hepatic encephalopathy is caused by disorders affecting the liver. These include disorders that reduce liver function (such as cirrhosis or hepatitis ) and conditions where blood circulation bypasses the liver. The exact cause of the disorder is unknown. However, when the liver cannot properly metabolize and detoxify substances in the body, toxic substances build up in the bloodstream. One substance believed to be particularly toxic to the central nervous system is

3. Hepatic Encephalopathy
Offers participating factors, pathophysiology, symptoms and signs, diagnosis and management.
http://www.fpnotebook.com/GI148.htm
Home About Links Index ... Editor's Choice document.write(code); Advertisement Gastroenterology Neurology Assorted Pages Hepatic Encephalopathy Symptom Evaluation Hiccup Hepatic Encephalopathy Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Practice Management Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Gastroenterology Index Bowel Cirrhosis Constipation Cardiovascular Medicine Dermatology Diarrhea Esophagus Examination Gynecology Hematology and Oncology Hepatitis Inflammatory Bowel Disease Infectious Disease Laboratory General Malabsorption Neurology Neonatology Obstetrics Pancreas Pediatrics Pharmacology Prevention Procedure Psychiatry Peptic Ulcer Disease Radiology Rectum Rheumatology Spleen Stomach Surgery Symptom Evaluation Page Neurology Index Hepatic Encephalopathy Hepatic Encephalopathy Reyes
  • Precipitating Factors Gastrointestinal Bleeding Blood loss of 100 ml absorbed as 14-20 g Protein Azotemia Constipation High protein dietary intake Hypokalemic acidosis CNS depressants (e.g.
  • 4. EMedicine - Encephalopathy, Hepatic : Article By David C Wolf, MD, FACP, FACG
    Encephalopathy, Hepatic hepatic encephalopathy is a syndrome observed in patientswith cirrhosis of the liver. It is characterized by personality changes,
    http://www.emedicine.com/med/topic3185.htm
    (advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Gastroenterology
    Encephalopathy, Hepatic
    Last Updated: March 3, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: portosystemic encephalopathy PSE hepatic coma cirrhosis of the liver ... hepatic cirrhosis , portosystemic collateral vessels, portocaval shunt surgery portal hypertension , end-stage liver disease, ESLD, coma, dysfunction of hepatic synthetic activity fulminant hepatic failure , FHF, liver failure flapping tremor fetor hepaticus hyperventilation ... constipation , diuretic therapy, dietary protein overload AUTHOR INFORMATION Section 1 of 9 Author Information Definition Pathogenesis Clinical Features Of Hepatic Encephalopathy ... Bibliography
    Author: David C Wolf, MD, FACP, FACG , Medical Director of Liver Transplantation, Associate Professor, Department of Internal Medicine, Division of Gastroenterology and Hepatobiliary Diseases, New York Medical College and Westchester Medical Center Editor(s): John Gunn Lee, MD

    5. HEPATIC ENCEPHALOPATHY
    hepatic encephalopathy A condition which is used to describe the deleterious effects of liver failure on the central nervous system.
    http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

    6. Pediatric Oncall- NUTRITION IN LIVER DISEASES
    Dietary recommendations for hepatitis, cirrhosis, and hepatic encephalopathy. Discusses how the liver processes specific types of food.
    http://www.pediatriconcall.com/forpatients/DietandDisease/nutrition_in_liverpat.
    PARENT CORNER Search GO Home Back Search for Pediatricians Hospitals Special Schools Baby Names Holistic Medicines Alternative Medicine Home Made Remedies Guest Book Guest Book Discussion Boards Share Experience Post Query ... Specialist Answers
    NUTRITION IN LIVER DISEASES.

    The human liver is on of the most important organs involved in the metabolism and storage of nutrients. Carbohydrate metabolism
    The liver plays a major role in carbohydrate metabolism. Galactose and fructose - products of carbohydrate digestion, are converted into glucose in the hepatocyte. Liver stores glucose as glycogen and then returns it to the blood when glucose levels become low. Protein metabolism
    Proteins are converted to substrates that are utilized in energy and glucose production. Liver detoxifies ammonia by converting it to urea, 75% of which is excreted by the kidneys. Synthesis of vital protiens of the blood takes place in the liver. Fat metabolism
    Fatty acids from the diet are converted in the liver to produce energy.

    7. THE MERCK MANUAL, Sec. 4, Ch. 38, Clinical Features Of Liver Disease
    PortalSystemic Encephalopathy (hepatic encephalopathy; Hepatic Coma)
    http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

    8. Www.nlm.nih.gov/cgi/mesh/2K/MB_cgi?term=Hepatic+En
    Postgraduate Medicine hepatic encephalopathyTo understand the pathogenesis of hepatic encephalopathy in chronic liver disease Preview hepatic encephalopathy is characterized by neuropsychiatric
    http://www.nlm.nih.gov/cgi/mesh/2K/MB_cgi?term=Hepatic Encephalopathy

    9. Liver Encephalopathy Principal Health News
    Symptoms of hepatic encephalopathy range from almost unnoticeable changes in personality, energy levels, and thinking patterns to deep coma.
    http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

    10. Postgraduate Medicine Hepatic Encephalopathy
    hepatic encephalopathy
    http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

    11. AllRefer Health - Hepatic Encephalopathy (Encephalopathy - Hepatic, Hepatic Coma
    hepatic encephalopathy (Encephalopathy Hepatic, Hepatic Coma) information centercovers causes, prevention, symptoms, diagnosis, treatment, incidence,
    http://health.allrefer.com/health/hepatic-encephalopathy-info.html

    AllRefer
    Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia
    Web health.allrefer.com You are here : AllRefer.com Health Hepatic Encephalopathy
    Hepatic Encephalopathy
    Definition Prevention
    Treatment

    Expectations or Prognosis
    ...
    Go To Main Page

    Alternate Names : Encephalopathy - Hepatic, Hepatic Coma Definition Hepatic encephalopathy is brain and nervous system damage that occurs as a complication of liver disorders. It is characterized by various neurologic symptoms including changes in reflexes, changes in consciousness , and behavior changes that can range from mild to severe.
    Digestive System Organs Hepatic encephalopathy is caused by disorders affecting the liver. These include disorders that reduce liver function (such as cirrhosis or hepatitis ) and conditions where blood circulation bypasses the liver. The exact cause of the disorder is unknown.

    12. TIPS-related Hepatic Encephalopathy Management Options With Novel
    TIPSrelated hepatic encephalopathy Management Options with Novel Endovascular Techniques1 David C. Madoff, MD , Michael J. Wallace, MD
    http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

    13. AllRefer Health - Hepatic Encephalopathy Treatment (Encephalopathy - Hepatic, He
    hepatic encephalopathy (Encephalopathy Hepatic, Hepatic Coma) information centercovers Treatment.
    http://health.allrefer.com/health/hepatic-encephalopathy-treatment.html

    AllRefer
    Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia
    Web health.allrefer.com You are here : AllRefer.com Health Hepatic Encephalopathy : Treatment of Hepatic Encephalopathy
    Hepatic Encephalopathy
    Definition Prevention
    Treatment
    Expectations or Prognosis
    Complications
    Calling Your Health Care Provider

    Go To Main Page

    Alternate Names : Encephalopathy - Hepatic, Hepatic Coma Treatment Hepatic encephalopathy is an acute medical condition that may become a medical emergency. Hospitalization is required.
    The goals of treatment include life support, elimination or treatment of precipitating factors, and removal or neutralization of ammonia and other toxins . Life support may be required, including support of breathing or circulation, particularly if

    14. EMedicine - Encephalopathy, Hepatic Article By David C Wolf, MD
    Encephalopathy, Hepatic hepatic encephalopathy is a syndrome observed in patients with cirrhosis of the liver. It is characterized by personality
    http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

    15. Hepatic Encephalopathy In Dogs
    hepatic encephalopathy is central nervous system illness caused by severe for hepatic encephalopathy (HE). Since this is a CNS disorder I would
    http://www.vetinfo.com/dhepaticenceph.html
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    Hepatic Encephalopathy in Dogs
    Hepatic Encephalopathy

    Followup on Hepatic Encephalopathy

    also see Neurological Problems
    also see Liver problems Hepatic Encephalopathy

    Q: Where can I find out more about hepatic encephalopathy? I am interested in what you find regarding Trixie's (my poodle) holding her neck and head extended. Have you seen this symptom in any patient? She can't control her head moments very well to drink or eat properly.

    16. EMedicine - Toxicity, Acetaminophen Article By Susan E Farrell, MD
    Jaundice Coagulopathy hepatic encephalopathy. Recurrence of nausea and vomiting. Renal failure. Fatality. Phase 4 (4 d to 3 wk)
    http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

    17. Hepatic Encephalopathy
    Treatment of hepatic encephalopathy. Am J Gastroenter 1997;9214291439 Prevalence and natural history of subclinical hepatic encephalopathy in
    http://www.5mcc.com/Assets/SUMMARY/TP0411.html
    Hepatic encephalopathy
    DESCRIPTION: Altered mental and neuromotor functioning associated with acute or chronic liver disease and/or portal systemic shunting of blood. The prominent features are mild to marked forgetfulness, impaired arousability, and a "flapping tremor" (asterixis).
    System(s) affected: Gastrointestinal, Nervous
    Genetics: Unknown
    Incidence/Prevalence in USA:
    • Occurs in 1/3 cases of cirrhosis
    • Occurs in all cases of fulminant hepatic failure
    • Present in nearly half of patients who reach the stage of liver disease requiring transplantation

    Predominant age: Parallels that of fulminant liver disease with peak in the 40's, and cirrhosis with peak in late 50's. May occur at any age.
    Predominant sex: Male = Female (reflecting the underlying liver disease)
    CAUSES:
    • Shunting of intestinal blood through the severely diseased liver without the intervention of viable liver cells. TIPS (transjugular intrahepatic portacaval shunt), a widely used radiologically inserted shunt to lower portal pressure, produces liver encephalopathy.
    • Shunting of such blood through collateral circulation or surgically constructed portacaval shunts
    • Most common in long standing cirrhosis of the liver with spontaneous shunting of intestinal blood through collaterals.

    18. Arch Neurol Abstract Chronic Parkinsonism Associated With
    subset of acquired hepatocerebral degeneration, whose features are permanent and entirely different from acute hepatic encephalopathy episodes.
    http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

    19. Virtual Hospital: University Of Iowa Family Practice Handbook, Fourth Edition: G
    Gastroenterology And Hepatology hepatic encephalopathy hepatic encephalopathy (HE)is a reversible metabolic encephalopathy with global central nervous
    http://www.vh.org/adult/provider/familymedicine/FPHandbook/Chapter05/20-5.html
    University of Iowa Family Practice Handbook, Fourth Edition, Chapter 5
    Gastroenterology And Hepatology: Hepatic Encephalopathy
    Jatinder P. S. Ahluwalia, MD, Mark A. Graber, MD, and William B. Silverman, MD
    Division of Gastroenterlogy and Hepatology and Departments of Internal Medicine, Family Medicine, and Emergency Medicine
    University of Iowa Hospitals and Clinics and College of Medicine

    Peer Review Status: Externally Peer Reviewed by Mosby
  • General Information . Hepatic encephalopathy (HE) is a reversible metabolic encephalopathy with global central nervous system depression that occurs as a result of hepatocellular failure. Associated with increased portosystemic shunting of nitrogenous compounds derived from the gut.
  • Precipitated or exacerbated by GI hemorrhage, excess dietary protein, constipation, infection (SBP), hypokalemia, and systemic alkalosis.
  • Ammonia is thought to play an important role in the pathogenesis of HE, but its plasma level correlates poorly with the severity of HE.
  • Manifestation and evaluation
  • Its clinical presentation ranges from subtle changes in behavior and sleep inversion to deep coma.
  • 20. Distinctly Abnormal Brain Metabolism In Late-onset Ornithine
    i.e., mI depletion and Gln accumulation followed by Cho depletion, which is reverse of that in hepatic encephalopathy, i.e., Cho depletion
    http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

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