Hepatic Encephalopathy: 5 Pearls Edition Ep3

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 13 December 2017

⏱️ 22 minutes

🔗️ Recording | iTunes | RSS

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Summary

Cement your knowledge on Hepatic Encephalopathy (HE)! Quiz yourself on the following 5 Pearls we’ll be covering on HE: Time Stamps * What are other causes of altered mental status in cirrhotics? (1:45) * What are common precipitants for an acute episode of HE? * What is asterixis? (6:10) * What is the diagnostic utility of a cirrhotic with asterixis? * How do lactulose & rifaximin reduce symptoms of HE? (11:00) * What are their indications? * What is the connection between hypokalemia and HE? (14:10) * 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/ (https://www.coreimpodcast.com/2017/12/13/5-pearls-on-hepatic-encephalopathy/) Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	This is the core I am five Pearls Podcast brought to you by clinical
0:15.2	correlations bringing you high-yield evidence-based pearls. Today we're talking about
0:20.0	hepatic encephalopathy. Special thanks to Dr. Sonia Olson and
0:23.9	gastron neurologist at NYU for peer-reviewing this podcast.
0:27.5	All right, let's get started with five questions on the pearls will be covering.
0:31.3	Test yourself by pausing after each of the five questions.
0:34.0	Remember, the more you test yourself, the deeper your learning game.
0:37.0	Question 1.
0:41.0	Approach to diagnosing hepatic encephalopathy and its precipitants.
0:44.8	What are some diseases that are often misdiagnosed as hepatic encephalopathy,
0:48.9	and what are the most common precipitants of an acute episode of HE.
0:53.0	Question two, what is Asterixis and what is the diagnostic utility of a serotic
1:00.0	having signs of Asterixis?
1:02.1	Is it just about putting your hands up and stopping traffic?
1:05.0	Is it diagnostically helpful?
1:07.0	Question three, what is the role of Lachilos and Rachilose and Raffaximine reduce symptoms of
1:15.8	Hepatikins philanthropy?
1:17.6	And what are indications for each? Question 4, hypokalemia and hepatic encephalopathy.
1:25.6	What's a connection between hypoglymia and hepatic encephalopathy?
1:29.2	Question 5, serum ammonium level in hepatic encephalopathy.
1:35.0	What is the discriminatory power of an ammonia level in HE?
1:39.0	What situation does ammonia have a stronger predictive value.
	...

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