Hepatic Encephalopathy : (portal systemic encephalopathy) Explained

Hepatic encephalopathy is a neuropsychiatric syndrome caused by liver disease. It most often results from high gut protein or acute metabolic stress (eg, GI bleeding, infection, electrolyte abnormality) in a patient with portal-systemic shunting As it progresses, confusion is followed by coma. Confusion needs to be differentiated from delirium tremens and Wernicke’s encephalopathy, and coma from subdural haematoma, which can occur in alcoholics after a fall Features include changes of intellect ,personality, emotions and consciousness, with or without neurological signs Two broad categories of hepatic encephalopathy are covert (CHE) and overt (OHE) hepatic encephalopathy CHE is particularly associated with poor outcomes Hepatic encephalopathy is also classified into three types based on the disease state of the liver, as follows: Type A: Hepatic encephalopathy associated with acute liver failure Type B: Hepatic encephalopathy associated with portosystemic bypass with no intrinsic hepatocellular disease Type C: Hepatic encephalopathy associated with cirrhosis and portal hypertension or portosystemic shunts. Become a premium Medcriner TODAY! https://www.youtube.com/channel/UCb1LglhAi_YGQnazlqeWRsQ/join Check our website for more medical lecture notes at https://medcrine.com Follow us on www.x.com/medcrine Facebook at www.fb.me/medcrine Pinterest at pinterest.com/medcrine Telegram at t.me/medcrine email us on info@medcrine.com