Adult Chronic Exam II Office Hours Bolded answer = said in office hours Yellow highlight = getting more detail
Cirrhosis- 7 questions ●
What is the best confirmatory test to diagnose cirrhosis? ○ Liver biopsy is the gold standard
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What are physical exam findings for hepatic encephalopathy? ○ Hepatic encephalopathy is the neuropsychiatric manifestation of liver disease w neurotoxic effects of pneumonia that can result in ■ asterixis - flapping tremors
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Apraxia- inability to construct simple figures, perform tasks when asked Fetor hepaticus- musty sweet odor of the patient's breath
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What treatments would be used for hepatic encephalopathy and why? ○ Lactulose to trap ammonia in the gut and cause a laxative effect resulting in removal of ammonia from the body ○ Antibiotics if pt is unresponsive to lactulose (don't think we need to know this tho)
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What behavioral changes might we see in a patient with hepatic encephalopathy? ○ Change in neurologic or mental status, inappropriate behavior, sleep disturbances, coma