1
Q
due to
A
excess absorption ammonia + glutamine from bacterial breakdown of proteins in gut
2
Q
features
A
confusion, alt GCS
asterix
constructional aprazia
triphasic slow waves on ECG
raised ammonia
3
Q
Grade I
A
irritablitity
4
Q
Grade II
A
confusion, inappropriate behaviour
5
Q
Grade III
A
incoherent ,
restless
6
Q
Grade IV
A
coma
7
Q
precipitating factors
A
infection GI bleed post TIPSS constipation sedatives, diuretics hypokalaemia renal failure inc dietary protein
8
Q
secondary prophylaxis
A
lactulose, with addition of rifaximin
GI
flashcards
Decks in class (45)
# Cards
-
Grand tour of alimentary canal27
-
nutrient digestion and absorption17
-
upper GIT21
-
gastric secretion20
-
gastric motility and pancreatic function27
-
liver structure and function17
-
small intestine structure and function20
-
large intestine structure and function11
-
oesophageal disorders34
-
upper GI surgery4
-
peptic ulcers13
-
pancreatic disease19
-
alcoholic liver disease19
-
liver cirrhosis32
-
NAFLD7
-
hepatitis32
-
autoimmune hepatitis11
-
haemochromatosis9
-
Wilson's Disease6
-
alpha 1 antitrypsin deficiency11
-
primary biliary cirrhosis9
-
primary sclerosing cholangitis11
-
liver cancer14
-
GORD19
-
upper GI bleed16
-
inflammatory bowel disease13
-
coeliac disease13
-
ascites4
-
hepatorenal syndrome3
-
c.diff11
-
dysphagia3
-
budd chari syndrome4
-
UC Mx10
-
Crohn's Mx5
-
passmed misc19
-
H. Pylori5
-
jaundice urinalysis7
-
haemochromatosis5
-
Crohn's Disease10
-
primary biliary cholangitis10
-
primary sclerosing cholangitis5
-
vitamins9
-
misc 218
-
hepatic encephalopathy8
-
IBS6
