EM Cases: Liver Emergencies – Acute Liver Failure, Hepatic Encephalopathy, Hepatorenal Syndrome, Liver Test Interpretation & Drugs to Avoid
For such a large organ, EM physicians spend proportionally little time thinking about the liver.
hepatic encephalopathy
Hepatic Encephalopathy: Common Precipitants, Sneaky Precipitants, and Clinical Pearls
Hepatic encephalopathy is associated with a variety of etiologies. This post explores the mechanism of hepatic encephalopathy, as well as missed precipitants of HE in cirrhosis and treatment pearls for the ED.
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EM@3AM: Hepatic Encephalopathy
A 52-year-old male with a history of severe liver disease, cirrhosis, and hepatitis C presents with altered mental status. His vital signs are normal, and he displays asterixis on exam, with otherwise normal neurologic exam. His ECG, head CT, and labs are normal. What should you consider, and what are your next steps?
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