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HUN4446 test 2
Hepatic Encephalopathy
5
Health Care
Undergraduate 4
03/19/2009

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Cards

Term
Hepatic encephalopathy
Definition
=portal systemic encephalopathy, associated with changes in consciousness, behavior, neurologic status
Term
HE symptoms
Definition
changes in judgement, sleep patterns, personality, & mood, unable to reproduce shapes, sweet/musty/pungent breath, asterixis
Term
Clinical stages of HE
Definition
Stage 0: no symptoms, Stage 1: mild confusion, decreased attention span, altered mentation, Stage 2: drowsy, unable to do mental tasks, personality changes, Stage 3: disoriented, mental confusion, incomprehensible speech, Stage 4: coma
Term
HE etiology theories
Definition
ammonia hypothesis, synergistic neurotoxin hypothesis, altered BCAA:AAA ratio, increased brain & neuroinhibitory substances (GABA, cerebral GABA receptors)
Term
HE nutritional mgmt
Definition
neomycin, lactulose
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