The Importance of Ammonia in Hepatic Encephalopathy

1. Cement your knowledge on Hepatic Encephalopathy (HE)! Quiz yourself on the following 5 Pearls we’ll be covering on HE: Time StampsWhat are other causes of altered mental status in cirrhotics? (1:45)

• What are common precipitants for an acute episode of HE?

1. What is asterixis? (6:10)

• What is the diagnostic utility of a cirrhotic with asterixis?

1. How do lactulose & rifaximin reduce symptoms of HE? (11:00)

• What are their indications?

1. What is the connection between hypokalemia and HE? (14:10)
2. What is the discriminatory power of an ammonia level in HE? (16:40)

• In what situation does the NH3 has stronger predictive value?

For full shownotes: https://www.coreimpodcast.com/2017/12/13/5-pearls-on-hepatic-encephalopathy/

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