129b: Quick Encephalopathy Review for the PANCE
Physician Assistant Exam Review
Brian Wallace PA-C
4.7 • 1.3K Ratings
🗓️ 8 April 2025
⏱️ 17 minutes
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Summary
Conditions Covered • Wernicke’s Encephalopathy • Hepatic Encephalopathy • Toxic & Metabolic Encephalopathy • Uremic Encephalopathy • Hypertensive Encephalopathy ⸻ Encephalopathy = Global brain dysfunction Encephalitis = Brain inflammation ⸻ Wernicke’s Encephalopathy Acute, reversible encephalopathy caused by thiamine (B1) deficiency. Key Differentiator: Confusion + Ataxia + Ophthalmoplegia in a malnourished or alcoholic patient. Essentials: • […]
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Transcript
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| 0:00.0 | All right. So just as I sat down to record this episode, a whole team of landscapers descended on my neighbor's yard to mow his lawn for the first time this spring. But we're going to carry on and hopefully it's not too obnoxious for you. |
| 0:16.7 | Today we're doing one of our companion episodes. So we're doing 129B on encephalopathic disorders. |
| 0:22.6 | And the conditions we covered in episode 129 were, were Nikki's encephalopathy, hepatic encephalopathy, toxic and metabolic encephalopathy, eurymic insopathy, and hypertensive encephalopathy. |
| 0:32.8 | I didn't think I could get through all that without screwing up at least one of them. |
| 0:36.8 | So there you go. |
| 0:38.2 | One of the things I was thinking about as I was putting this show together was I was trying |
| 0:42.9 | to understand how these were in like an encephalitis. |
| 0:50.1 | And I didn't quite get it because I'm like, I'm thinking that there's no inflammation in Wernicke's. |
| 0:55.5 | There's no inflammation in hepatic encephalopathy. |
| 0:58.7 | So what am I missing? |
| 1:00.1 | And it's really straightforward, but it's the, it's what I want to, the reason I'm pointing |
| 1:03.2 | this out is because it's so many times that the simplest things can have a big impact on your memory |
| 1:09.4 | because all of a sudden something clicks and then it sticks |
| 1:11.7 | in your brain. You've got it. And I think that may be how this is for me. And the problem is you can't |
| 1:16.4 | tell what'll do it for one person or another person. I was thinking about this idea the other day when we |
| 1:20.7 | talk about high yield information. Probably 60 to 70% of high yield information is the same for everyone, but the other 30 to 40% |
| 1:29.0 | is different for everyone, depending on what you already know, depending on what you need to learn, |
| 1:33.0 | depending on what's easy for you, what's hard for you, et cetera. So it's one of the things I teach |
| 1:36.9 | in the 33 Days program is how to discern all of that stuff. But anyway, I'm getting way off |
| 1:41.3 | track here. I want to get back to the idea of encephalitis versus encephalopathy. |
| 1:48.0 | And when you pull it up, I mean, the definition is really straightforward. |
| 1:50.3 | It's not hard, but it's just a piece I was missing. |
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