1. Serum Protein Offers participating factors, pathophysiology, symptoms and signs, diagnosis and management.Category Health Conditions and Diseases hepatic encephalopathy......Serum Protein, Book, Home Page. http://www.fpnotebook.com/GI121.htm

Home About Links Index ... Editor's Choice Paid Advertisement (click above). Please see the privacy statement Gastroenterology Laboratory Cirrhosis ... Gastrin Level Assorted Pages ACE Level Alpha-fetoprotein 24 hour Urine 5-hydroxyindoleacetic acid Liver Function Test ... Jaundice Serum Protein Book Home Page Cardiovascular Medicine Dental Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Gastroenterology Index Bowel Cirrhosis Constipation 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 Stomach Surgery Symptom Evaluation Page Laboratory Index ACE level AFP Cirrhosis Ammonia Serum Cirrhosis Antibody Anti-Mitochondrial Cirrhosis Antibody Smooth Muscle Hemonc 5-HT Hepatitis Viral Hepatitis Viral Type A Serology Hepatitis Viral Type B Serology Hepatitis Viral Type C Serology LFT LFT Abnormality Approach LFT Albumin Serum LFT Alk Phos Serum LFT ALT LFT AST LFT Bili LFT Bili Direct LFT Bili Indirect Lft Bili Neonatal LFT GGT LFT LDH LFT LDH isoenzymes LFT Protein Serum

2. HEPATIC ENCEPHALOPATHY hepatic encephalopathy A condition which is used to describe the deleterious effects of liver failure on the central http://www.medhelp.org/glossary/new/gls_2197.htm

Welcome to .... Advertisement HEPATIC ENCEPHALOPATHY - A condition which is used to describe the deleterious effects of liver failure on the central nervous system. Features include confusion ranging to unresponsiveness ( coma ). A common cause is alcoholic cirrhosis . Treatment includes the binding and elimination of ammonia in the intestinal tract . General life support including respiratory support and cardiovascular support may also be required. See encephalopathy for additional details. Med Help International Search Ask the Doctor Forums Patient Network The medical glossary has been made possible by a generous donation from: (revised: 1996) Advertisement

3. Hepatic Encephalopathy hepatic encephalopathy. DESCRIPTION Altered mental and neuromotor functioning associated with acute or chronic liver http://www.5mcc.com/Assets/SUMMARY/0411.html

4. Hepatitis Central, What Is Hepatic Encephalopathy? What Is hepatic encephalopathy? hepatic encephalopathy refers to the changes in the brain that occur in patients with http://hepatitis-central.com/hcv/whatis/encephalopathy.html

Hepatitis Central TM What Is Hepatic Encephalopathy? Hepatic encephalopathy refers to the changes in the brain that occur in patients with advanced acute or chronic liver disease. If liver cells are damaged, certain substances that are normally cleansed from the blood by the healthy liver are not removed (ammonia mainly, and other toxins). A patient with chronic hepatic encephalopathy may develop progressive loss of memory, disorientation, untidiness, and muscular tremors, leading to a form of chronic dementia. The ingestion of protein invariably aggravates these symptoms. The treatment of hepatic encephalopathy involves, first, the removal of all drugs that require detoxification in the liver and, second, the reduction of the intake of protein. Restricting the amount of protein in the diet will generally lower the levels of amino acids and ammonia in the bloodstream and brain. Most physicians advise their patients with this condition to eat only about 40 grams of protein a day, and will prescribe lactulose or neomycin to lower amino acid production. Non-meat proteins, such as those found in vegetables and milk, are preferred. Certain amino acids are used in treatment, since they are considered less likely to cause mental impairment. A dietary supplement rich in these amino acids is used at many liver treatment centers. Table Of Contents

5. Hepatic Encephalopathy hepatic encephalopathy, Book, Home Page, Neurology Index. PrecipitatingFactors http://www.fpnotebook.com/GI140.htm

Home About Links Index ... Editor's Choice Paid Advertisement (click above). Please see the privacy statement Gastroenterology Neurology Assorted Pages Hepatic Encephalopathy Symptom Evaluation Hiccup Hepatic Encephalopathy Book Home Page Cardiovascular Medicine Dental Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Gastroenterology Index Bowel Cirrhosis Constipation 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 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.

6. WebMD/Lycos Hepatic Encephalopathy An in depth look at this disorder, from alternative names to a description, causes, incidence and risk factors, symptoms, diagnosis, treatment, prognosis, complications and prevention. http://webmd.lycos.com/content/asset/adam_disease_hepatic_coma

7. Med Help A brief description of hepatic encephalopathy. http://medhlp.netusa.net/glossary/new/gls_2197.htm

8. ThirdAge - Adam - Hepatic Encephalopathy hepatic encephalopathy. Date //. Name http://www.thirdage.com/health/adam/ency/article/000302.htm

document.write(''); document.write(''); document.write('<'); document.write('/SCRIPT>'); document.write(''); document.write(''); document.write('<'); document.write('/A>'); document.write('<'); document.write('/NOSCRIPT>'); document.write('<'); document.write('/IFRAME>'); Activities Computers Family Tree Health ... Prevention Hepatic encephalopathy Definition: A group of symptoms that may occur when there is damage to the brain and nervous system as a complication of liver disorders, characterized by various neurologic symptoms including changes in reflexes, changes in consciousness , and behavior changes that can range from mild to severe. Alternative Names: Hepatic coma; Encephalopathy - hepatic Causes, incidence, and risk factors: 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. The liver cannot properly metabolize and detoxify substances in the body. Accumulation of toxic substances causes metabolic abnormalities that lead to damage in the

9. Hepatic Encephalopathy Subject hepatic encephalopathy Topic Area Hepatitis C Forum The Hepatitis ForumQuestion Posted By Fred on Thursday, April 06, 2000 I have a friend who has http://www.medhelp.org/forums/hepatitis/messages/30218a.html

Advertisement Welcome to .... Questions in The Hepatitis Forum are being answered by doctors from Henry Ford Health System , consistently ranked one of the best hospitals in America. Subject: hepatic encephalopathy Topic Area: Hepatitis C Forum: The Hepatitis Forum Question Posted By: Fred on Thursday, April 06, 2000 I have a friend who has hepatitis, she has been living with this disease for the past 16yrs. I think it has already advanced to very severe form. Recently she was hospitalized again and was diagnosed to have hepatic encephalopathy. She is insisting that she is dying. She is a very dear friend and i just want to know more about the disease. Can you please guide me on what course would this disease take. Is there a real possibility that she would leave us. Thank you for your help. Answer Posted By: HFHSM.D.-D.M. on Sunday, April 16, 2000 Dear Fred: I appreciate your letter and I can imagine your concern towards your 16 year old friend. There are all kinds of liver disease and it is hard for me to tell you anything specific about her without knowing a fair bit more. I will try to make some general comments. One of the jobs of the liver is to remove toxic or waste chemicals from the blood. When a liver becomes diseased, it can lose its ability to “cleanse” the blood and bad chemicals can build up. Some of these chemicals can cause a certain lethargy or confusion that we call hepatic encephalopathy. As a general rule, anytime a patient with liver disease has hepatic encephalopathy, it usually means they have advanced liver disease. Their prognosis depends upon the underlying cause of the liver disease and whether it can be treated. If some one has a treatable form of liver disease, they can potentially do well for a long time. Some times, we can treat the hepatic encephalopathy effectively with medications and individuals can do well for years. However, hepatic encephalopathy is usually a very serious symptom. If some one does not have a treatable form of liver disease of if they clearly are not going to do well, we might want to think about options like liver transplant.

10. Chapter 14 - Section 13: First Principles Of Gastroenterology hepatic encephalopathy (HE) is a complex, potentially reversible neuropsychiatric condition that occurs as a consequence http://www.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).

11. Postgraduate Medicine: Hepatic Encephalopathy hepatic encephalopathy. Metabolic consequence of cirrhosis often is reversible. Hepaticencephalopathy metabolic consequence of cirrhosis often is reversible. http://www.postgradmed.com/issues/2001/02_01/assi.htm

Hepatic encephalopathy Metabolic consequence of cirrhosis often is reversible Souheil Abou-Assi, MD; Z. Reno Vlahcevic, MD* VOL 109 / NO 2 / FEBRUARY 2001 / POSTGRADUATE MEDICINE CME learning objectives To understand the pathogenesis of hepatic encephalopathy in chronic liver disease To recognize the clinical manifestations and diagnostic tools used to detect hepatic encephalopathy To be aware of the precipitating factors for hepatic encephalopathy and to try to avoid them in patients with cirrhosis The authors disclose no financial interests in this article. Supported by a grant from the National Institutes of Health and a grant from the Department of Veterans Affairs. *Deceased. This is the first of three articles on cirrhosis This page is best viewed with a browser that supports tables. Preview : Hepatic encephalopathy is characterized by neuropsychiatric manifestations ranging from a slightly altered mental status to coma, and neuromuscular symptoms may be present. This complication of chronic or acute liver disease is a result of the failure of the liver to detoxify toxins originating in the intestine. The pathogenesis probably is multifactorial, although the predominant causative agent appears to be ammonia. In this article, Drs Abou-Assi and Vlahcevic discuss the timely recognition and correction of factors contributing to this often reversible condition. Abou-Assi S, Vlahcevic ZR. Hepatic encephalopathy: metabolic consequence of cirrhosis often is reversible. Postgrad Med 2001;109(2):52-70

12. MEDLINEplus Medical Encyclopedia: Hepatic Encephalopathy hepatic encephalopathy. Causes, incidence, and risk factors Return to top.hepatic encephalopathy is caused by disorders affecting the liver. http://www.nlm.nih.gov/medlineplus/ency/article/000302.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Hepatic encephalopathy Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Digestive system organs Alternative names Return to top Hepatic coma; Encephalopathy - hepatic Definition Return to top A group of symptoms that may occur when there is damage to the brain and nervous system as a complication of liver disorders, 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. The liver cannot properly metabolize and detoxify substances in the body. Accumulation of toxic substances causes metabolic abnormalities that lead to damage in the central nervous system (brain and spinal cord). One substance believed to be toxic

13. Katalog - Wirtualna Polska Following is the full text, Medline abstracts and images of a topic review from UpToDate. last changed on July 23, 2001. hepatic encephalopathy (HE) or portosystemic encephalopathy (PSE) is a reversible http://katalog.wp.pl/DMOZ/Health/Conditions_and_Diseases/Neurological_Disorders/

Poczta Czat SMS Pomoc Szukaj.wp.pl: -Katalog -Polskie www -¦wiatowe www -Wirtualna Polska -FTP/Pliki -Grupy dyskusyjne -Encyklopedia -Produkty wp.pl Katalog Katalog ¦wiatowy DMOZ ... Brain Diseases > Metabolic Fakty o Katalogu Pomoc Regulamin Serwis szukaj ... Ostatnio dodane NAWIGACJA Fakty o katalogu Pomoc Regulamin Serwis Szukaj ... FAQ Dodaj stronê Katalog WP Polskie Strony WWW Oferta dla firm WP-HIT ... Wirtualna Polska

14. Www.nlm.nih.gov/cgi/mesh/2K/MB_cgi?term=Hepatic+Encephalopathy Similar pages More results from www.nlm.nih.gov eMedicine Encephalopathy, Hepatic Article by David C Wolf, MD Encephalopathy, Hepatic - hepatic encephalopathy is a syndrome observed inpatients with cirrhosis of the liver. Ferenci P hepatic encephalopathy. http://www.nlm.nih.gov/cgi/mesh/2K/MB_cgi?term=Hepatic Encephalopathy

15. EMedicine - Encephalopathy, Hepatic : Article Excerpt By: David C Wolf, MD, FACP Encephalopathy, Hepatic hepatic encephalopathy is a syndrome observed in patientswith cirrhosis of the liver. Excerpt from Encephalopathy, Hepatic. http://www.emedicine.com/med/byname/encephalopathy-hepatic.htm

(advertisement) Excerpt from Encephalopathy, Hepatic Synonyms, Key Words, and Related Terms: portosystemic encephalopathy, PSE, hepatic coma Please click here to view the full topic text: Encephalopathy, Hepatic Hepatic encephalopathy is a syndrome observed in patients with cirrhosis of the liver. It is characterized by personality changes, intellectual impairment, and a depressed level of consciousness. An important prerequisite for the syndrome is diversion of portal blood into the systemic circulation through portosystemic collateral vessels. Indeed, hepatic encephalopathy may develop in patients without cirrhosis who have undergone portocaval shunt surgery. The development of hepatic encephalopathy is explained, to some extent, by the effect of neurotoxic substances, which occurs in the setting of cirrhosis and portal hypertension. Subtle signs of hepatic encephalopathy are observed in nearly 70% of patients with cirrhosis. Symptoms may be debilitating in a significant number of patients and are observed in 24-53% of patients who undergo portosystemic shunt surgery. Approximately 30% of patients dying of end-stage liver disease experience significant encephalopathy, approaching coma. Hepatic encephalopathy accompanied by severe dysfunction of hepatic synthetic activity also is the hallmark of fulminant hepatic failure (FHF). Symptoms of encephalopathy in FHF are graded using the same scale employed to assess encephalopathy symptoms in cirrhosis. However, the pathogenesis of the encephalopathy in FHF differs from that of cirrhosis. In FHF, altered mental function is attributed to increased permeability of the blood-brain barrier and to impaired osmoregulation within the brain. The resulting brain cell swelling and brain edema are potentially fatal. In contrast, brain edema rarely is reported in patients with cirrhosis. The encephalopathy of FHF is not covered in this article but is addressed in the

16. KLUWER Academic Publishers | Advances In Cirrhosis, Hyperammonemia, And Hepatic Books » Advances in Cirrhosis, Hyperammonemia, and hepatic encephalopathy. Advancesin Cirrhosis, Hyperammonemia, and hepatic encephalopathy. Add to cart. http://www.wkap.nl/prod/b/0-306-45598-6

Title Authors Affiliation ISBN ISSN advanced search search tips Books Advances in Cirrhosis, Hyperammonemia, and Hepatic Encephalopathy Advances in Cirrhosis, Hyperammonemia, and Hepatic Encephalopathy Add to cart Proceedings of an international symposiu, held in Valencia, Spain, December 2-4, 1996 edited by Vicente Felipo Book Series: ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY Volume 420 Contents and Contributors Kluwer Academic/Plenum Publishers Hardbound, ISBN 0-306-45598-6 August 1997, EUR 169.00 / USD 175.00 / GBP 105.25 Home Help section About Us Contact Us ... Search

17. KLUWER Academic Publishers | Cirrhosis, Hepatic Encephalopathy And Ammonium Toxi Books » Cirrhosis, hepatic encephalopathy and Ammonium Toxicity.Cirrhosis, hepatic encephalopathy and Ammonium Toxicity. edited http://www.wkap.nl/prod/b/0-306-43666-3

Title Authors Affiliation ISBN ISSN advanced search search tips Books Cirrhosis, Hepatic Encephalopathy and Ammonium Toxicity Cirrhosis, Hepatic Encephalopathy and Ammonium Toxicity edited by Instituto de Investigaciones, Citologicas de la F.I.B., Valencia, Spain Vicente Felipo Instituto de Investigaciones Citologicas de la Caja de Ahorres de Valencia, Spain Book Series: ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY Volume 272 Kluwer Academic/Plenum Publishers Hardbound, ISBN 0-306-43666-3 May 1991, 284 pp. Out of Print Home Help section About Us Contact Us ... Search

18. Chapter 14 - Section 13: First Principles Of Gastroenterology 13. hepatic encephalopathy / LJ Worobetz, page 537. hepatic encephalopathy degeneration).TABLE 20. Grading of hepatic encephalopathy. Grade, 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).

19. Hepatic Encephalopathy Treatment hepatic encephalopathy treatment Adsorb! Even if you quit the booze, if your liveris shot you could still get hepatic encephalopathy from time to time. http://www.halfbakery.com/idea/Hepatic_20encephalopathy_20treatment

h a l f b a k e r y Almost as great as sliced bread. idea: new search annotate link , view, overview recent by name best ... random meta: news help about links ... report a bug account: Browse anonymously, or get an account and write. User: Pass: Login Create an account. Ant-chilli Anti-unrequited-love drug Booze buster pills Ciprozac ... drug Hepatic encephalopathy treatment Adsorb! Adsorb! [vote for against Just when everyone was having fun talking about the booze buster pills, along came buzzkill IVnick8or with the gloom and doom of hepatic encephalopathy. Those folks are in a bad way. There is no good dialysis equivalent for livers, so if you have used yours up, you can't just hook on to the machine like the renal failure folks do. Even if you quit the booze, if your liver is shot you could still get hepatic encephalopathy from time to time. The only cure is a liver transplants, but folks seem to want to save the available livers for kids and those who came by liver failure by accident, rather than prolonged effort. What to do for the folks with hepatic encephalopathy? As Nick8's link describes, the reason for this trouble is thought to be accumulation of ammonia, which normally the liver can get rid of. When this stuff builds up it stuns the brain. Zeolite is a natural mineral widely used to adsorb ammonia in applications such as wastewater treatment and aquarium maintenance. I propose that a slurry be devised for the liver impaired, consisting of zeolite slurry. This stuff will adsorb ammonia on the way thru the gut and eventually be pooped out. Possibly, if has not been exhausted, it will go on to aid with municipal wastewater treatment. The "Z-slurry" will buttress what is left of the liver, allowing the person to cloud his mind only with the chemicals of his choosing.

20. 1Up Health > Hepatic Encephalopathy > Causes, Incidence, And Risk Factors Of Hep Comprehesive information on hepatic encephalopathy (Encephalopathy hepatic,Hepatic coma). hepatic encephalopathy Causes, Incidence, and Risk Factors. http://www.1uphealth.com/health/hepatic_encephalopathy_info.html

1Up Health Hepatic encephalopathy Alternative Medicine Clinical Trials ... Health Topics A-Z Search 1Up Health Hepatic encephalopathy Information Hepatic encephalopathy Causes, Incidence, and Risk Factors Alternative names : Encephalopathy - hepatic, Hepatic coma Definition : A group of symptoms that may occur when there is damage to the brain and nervous system as a complication of liver disorders, 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 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. The liver cannot properly metabolize and detoxify substances in the body. Accumulation of toxic substances causes metabolic abnormalities that lead to damage in the central nervous system (brain and spinal cord). One substance believed to be toxic

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