SlideShare une entreprise Scribd logo

20 hepatic enchephalopathy

•Télécharger en tant que PPT, PDF•
•
I
internalmed
Formation
1  sur  34
HEPATIC ENCEPHALOPATHY GAO XIANG Department of Gastroenterology The First Affiliated Hospital
DEFINITION ,[object Object]
AETIOLOGY ,[object Object],[object Object],[object Object],Concensus in Hepatic Encephalopathy, WCOG, 2001; in press
Hepatic encephalopathy- A complication of cirrhosis of the liver 0 20 40 60 80 100 120 140 160 0 20 40 60 80 100 Probability of complications (%) Gines et al. Hepatology (1987) 7, 1:122-128 Months
Key questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PATHOGENETIC MECHANISM ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ammonia intoxication theory NH 3 NH 4 urea & H +
 
[object Object],[object Object],[object Object],[object Object],Amino acid metabolic imbalance
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],False neurotransmitter Colon: protein x ( Brain )
GABA/BZ receptor complex theory ,[object Object],[object Object],--- the use of benzodiazepine antagonist
CLINICAL MANIFESTATION
[object Object],[object Object],[object Object],[object Object],[object Object],Clinical features
[object Object],[object Object],[object Object],[object Object],(Cont).
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical grading
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Con’t)
 
[object Object],[object Object],[object Object],[object Object],[object Object],Note
[object Object],[object Object],[object Object],[object Object],Investigation
DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS
[object Object],[object Object],[object Object],[object Object],Diagnosis
[object Object],Differential diagnosis
TREATMENT
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Modify colonic flora, resulting in displacement of urease-containing bacteria with lactobacillus Cathartic effect Lower the colonic pH, resulting in the formation of nonabsorbable NH 4 from NH 3 in the colon
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object]
[object Object],[object Object]
PROGNOSIS ,[object Object],[object Object],[object Object],[object Object]
 

Recommandé

Hepatic encephalopathy, short review & update
Hepatic encephalopathy, short review & updateHepatic encephalopathy, short review & update
Hepatic encephalopathy, short review & updateRushdanZakariah
 
Hepatic encephalopathy 2012 presentation
Hepatic encephalopathy 2012 presentationHepatic encephalopathy 2012 presentation
Hepatic encephalopathy 2012 presentationIko Musa
 
Hepatic Encephalopathy
Hepatic EncephalopathyHepatic Encephalopathy
Hepatic Encephalopathymeducationdotnet
 
Hepatorenal syndrome
Hepatorenal syndromeHepatorenal syndrome
Hepatorenal syndromePraveen Nagula
 
Hepatic encephalopathy
Hepatic encephalopathyHepatic encephalopathy
Hepatic encephalopathyNikhil Bhangale
 
Status Asthmaticus In Children
Status Asthmaticus In ChildrenStatus Asthmaticus In Children
Status Asthmaticus In ChildrenDang Thanh Tuan
 
A Case of Gitelman's Syndrome
A Case of Gitelman's SyndromeA Case of Gitelman's Syndrome
A Case of Gitelman's SyndromeStanley Medical College, Department of Medicine
 
Hepatic encephalopathy
Hepatic encephalopathyHepatic encephalopathy
Hepatic encephalopathyArun George
 

Recommandé

Hepatic encephalopathy, short review & update
Hepatic encephalopathy, short review & updateHepatic encephalopathy, short review & update
Hepatic encephalopathy, short review & updateRushdanZakariah
 
Hepatic encephalopathy 2012 presentation
Hepatic encephalopathy 2012 presentationHepatic encephalopathy 2012 presentation
Hepatic encephalopathy 2012 presentationIko Musa
 
Hepatic Encephalopathy
Hepatic EncephalopathyHepatic Encephalopathy
Hepatic Encephalopathymeducationdotnet
 
Hepatorenal syndrome
Hepatorenal syndromeHepatorenal syndrome
Hepatorenal syndromePraveen Nagula
 
Hepatic encephalopathy
Hepatic encephalopathyHepatic encephalopathy
Hepatic encephalopathyNikhil Bhangale
 
Status Asthmaticus In Children
Status Asthmaticus In ChildrenStatus Asthmaticus In Children
Status Asthmaticus In ChildrenDang Thanh Tuan
 
A Case of Gitelman's Syndrome
A Case of Gitelman's SyndromeA Case of Gitelman's Syndrome
A Case of Gitelman's SyndromeStanley Medical College, Department of Medicine
 
Hepatic encephalopathy
Hepatic encephalopathyHepatic encephalopathy
Hepatic encephalopathyArun George
 
[2015] hepatic encephalopathy
[2015] hepatic encephalopathy[2015] hepatic encephalopathy
[2015] hepatic encephalopathyAyman Alsebaey
 
case presentation: generalized edema
case presentation: generalized edemacase presentation: generalized edema
case presentation: generalized edemaFatima Siddiqui
 
Epilepsy
EpilepsyEpilepsy
EpilepsyAjin Pisharody
 
Hepatic encephalopathy
Hepatic encephalopathyHepatic encephalopathy
Hepatic encephalopathyAshraf Okba
 
Status epilepticus
Status epilepticusStatus epilepticus
Status epilepticusNeurologyKota
 
Refractory ascites
Refractory ascites Refractory ascites
Refractory ascites ashokvardhan reddy
 
Hyperosmolar hyperglycemic state
Hyperosmolar hyperglycemic stateHyperosmolar hyperglycemic state
Hyperosmolar hyperglycemic stateDr. Mohammed Sadiq Azam M.D.
 
APPROACH TO SEIZURE CME
APPROACH TO SEIZURE CMEAPPROACH TO SEIZURE CME
APPROACH TO SEIZURE CMEHaffiz Mohdnoor
 
Hepatorenal Syndrome
Hepatorenal SyndromeHepatorenal Syndrome
Hepatorenal SyndromeMuhammad Asim Rana
 
Management of hepatic encephalopathy
Management of hepatic encephalopathy Management of hepatic encephalopathy
Management of hepatic encephalopathy drnkhokhar
 
Seizures and epilepsy
Seizures and epilepsySeizures and epilepsy
Seizures and epilepsyPraveen Nagula
 
Hepatorenal syndrome
Hepatorenal syndromeHepatorenal syndrome
Hepatorenal syndromeAhad Lodhi
 
Hepatic Encephalopathy
Hepatic EncephalopathyHepatic Encephalopathy
Hepatic EncephalopathyBhargav Kiran
 
A new perspective on hyponatremia
A new perspective on hyponatremiaA new perspective on hyponatremia
A new perspective on hyponatremiaSteve Chen
 
Status Epilepticus
Status Epilepticus Status Epilepticus
Status Epilepticus Keshav Chandra
 
Ckd
CkdCkd
CkdDrAnsuman Dash
 
Newer antiepileptic drugs
Newer antiepileptic drugsNewer antiepileptic drugs
Newer antiepileptic drugsNeurologyKota
 
Acute liver failure
Acute liver failureAcute liver failure
Acute liver failureSuresh Gorka
 
Acute kidney injury
Acute kidney injury Acute kidney injury
Acute kidney injury anoop k r
 
Acute severe Asthma case presentation
Acute severe Asthma case presentationAcute severe Asthma case presentation
Acute severe Asthma case presentationDr.Rania Ismail Deeb Elashker
 
9 asthma
9 asthma9 asthma
9 asthmainternalmed
 
Anemia
AnemiaAnemia
Anemiainternalmed
 

Contenu connexe

Tendances

[2015] hepatic encephalopathy
[2015] hepatic encephalopathy[2015] hepatic encephalopathy
[2015] hepatic encephalopathyAyman Alsebaey
 
case presentation: generalized edema
case presentation: generalized edemacase presentation: generalized edema
case presentation: generalized edemaFatima Siddiqui
 
Hepatic encephalopathy
Hepatic encephalopathyHepatic encephalopathy
Hepatic encephalopathyAshraf Okba
 
Management of hepatic encephalopathy
Management of hepatic encephalopathy Management of hepatic encephalopathy
Management of hepatic encephalopathy drnkhokhar
 
Hepatorenal syndrome
Hepatorenal syndromeHepatorenal syndrome
Hepatorenal syndromeAhad Lodhi
 
Hepatic Encephalopathy
Hepatic EncephalopathyHepatic Encephalopathy
Hepatic EncephalopathyBhargav Kiran
 
A new perspective on hyponatremia
A new perspective on hyponatremiaA new perspective on hyponatremia
A new perspective on hyponatremiaSteve Chen
 
Newer antiepileptic drugs
Newer antiepileptic drugsNewer antiepileptic drugs
Newer antiepileptic drugsNeurologyKota
 
Acute liver failure
Acute liver failureAcute liver failure
Acute liver failureSuresh Gorka
 
Acute kidney injury
Acute kidney injury Acute kidney injury
Acute kidney injury anoop k r
 

Tendances (20)

[2015] hepatic encephalopathy
[2015] hepatic encephalopathy[2015] hepatic encephalopathy
[2015] hepatic encephalopathy
 
case presentation: generalized edema
case presentation: generalized edemacase presentation: generalized edema
case presentation: generalized edema
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
Hepatic encephalopathy
Hepatic encephalopathyHepatic encephalopathy
Hepatic encephalopathy
 
Status epilepticus
Status epilepticusStatus epilepticus
Status epilepticus
 
Refractory ascites
Refractory ascites Refractory ascites
Refractory ascites
 
Hyperosmolar hyperglycemic state
Hyperosmolar hyperglycemic stateHyperosmolar hyperglycemic state
Hyperosmolar hyperglycemic state
 
APPROACH TO SEIZURE CME
APPROACH TO SEIZURE CMEAPPROACH TO SEIZURE CME
APPROACH TO SEIZURE CME
 
Hepatorenal Syndrome
Hepatorenal SyndromeHepatorenal Syndrome
Hepatorenal Syndrome
 
Management of hepatic encephalopathy
Management of hepatic encephalopathy Management of hepatic encephalopathy
Management of hepatic encephalopathy
 
Seizures and epilepsy
Seizures and epilepsySeizures and epilepsy
Seizures and epilepsy
 
Hepatorenal syndrome
Hepatorenal syndromeHepatorenal syndrome
Hepatorenal syndrome
 
Hepatic Encephalopathy
Hepatic EncephalopathyHepatic Encephalopathy
Hepatic Encephalopathy
 
A new perspective on hyponatremia
A new perspective on hyponatremiaA new perspective on hyponatremia
A new perspective on hyponatremia
 
Status Epilepticus
Status Epilepticus Status Epilepticus
Status Epilepticus
 
Ckd
CkdCkd
Ckd
 
Newer antiepileptic drugs
Newer antiepileptic drugsNewer antiepileptic drugs
Newer antiepileptic drugs
 
Acute liver failure
Acute liver failureAcute liver failure
Acute liver failure
 
Acute kidney injury
Acute kidney injury Acute kidney injury
Acute kidney injury
 
Acute severe Asthma case presentation
Acute severe Asthma case presentationAcute severe Asthma case presentation
Acute severe Asthma case presentation
 

En vedette

内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文internalmed
 
C:\Documents And Settings\Administrator\桌面\内分泌总论英文
C:\Documents And Settings\Administrator\桌面\内分泌总论英文C:\Documents And Settings\Administrator\桌面\内分泌总论英文
C:\Documents And Settings\Administrator\桌面\内分泌总论英文internalmed
 
C:\documents and settings\administrator\桌面\35 ndiabetes mellitus
C:\documents and settings\administrator\桌面\35 ndiabetes mellitusC:\documents and settings\administrator\桌面\35 ndiabetes mellitus
C:\documents and settings\administrator\桌面\35 ndiabetes mellitusinternalmed
 
内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文internalmed
 
再障 2010.5.13
再障 2010.5.13再障 2010.5.13
再障 2010.5.13internalmed
 
4 pleural effusions
4 pleural effusions4 pleural effusions
4 pleural effusionsinternalmed
 
Foreign students acute leukemia-zhou
Foreign students acute leukemia-zhouForeign students acute leukemia-zhou
Foreign students acute leukemia-zhouinternalmed
 
C:\documents and settings\administrator\桌面\20100607 nephrotic syndrome
C:\documents and settings\administrator\桌面\20100607 nephrotic syndromeC:\documents and settings\administrator\桌面\20100607 nephrotic syndrome
C:\documents and settings\administrator\桌面\20100607 nephrotic syndromeinternalmed
 
4 bronchiectasis
4 bronchiectasis4 bronchiectasis
4 bronchiectasisinternalmed
 
19 hepatic cirrhosis
19 hepatic cirrhosis19 hepatic cirrhosis
19 hepatic cirrhosisinternalmed
 
23 renal disease
23 renal disease23 renal disease
23 renal diseaseinternalmed
 
22 acute pancreatitis
22 acute pancreatitis22 acute pancreatitis
22 acute pancreatitisinternalmed
 
Uti english ppts
Uti english pptsUti english ppts
Uti english pptsinternalmed
 
17 pericardial disease
17 pericardial disease17 pericardial disease
17 pericardial diseaseinternalmed
 

En vedette (20)

9 asthma
9 asthma9 asthma
9 asthma
 
Anemia
AnemiaAnemia
Anemia
 
内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文
 
C:\Documents And Settings\Administrator\桌面\内分泌总论英文
C:\Documents And Settings\Administrator\桌面\内分泌总论英文C:\Documents And Settings\Administrator\桌面\内分泌总论英文
C:\Documents And Settings\Administrator\桌面\内分泌总论英文
 
C:\documents and settings\administrator\桌面\35 ndiabetes mellitus
C:\documents and settings\administrator\桌面\35 ndiabetes mellitusC:\documents and settings\administrator\桌面\35 ndiabetes mellitus
C:\documents and settings\administrator\桌面\35 ndiabetes mellitus
 
15 ie
15 ie15 ie
15 ie
 
内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文
 
再障 2010.5.13
再障 2010.5.13再障 2010.5.13
再障 2010.5.13
 
4 pleural effusions
4 pleural effusions4 pleural effusions
4 pleural effusions
 
Foreign students acute leukemia-zhou
Foreign students acute leukemia-zhouForeign students acute leukemia-zhou
Foreign students acute leukemia-zhou
 
1 introduction
1 introduction1 introduction
1 introduction
 
C:\documents and settings\administrator\桌面\20100607 nephrotic syndrome
C:\documents and settings\administrator\桌面\20100607 nephrotic syndromeC:\documents and settings\administrator\桌面\20100607 nephrotic syndrome
C:\documents and settings\administrator\桌面\20100607 nephrotic syndrome
 
4 bronchiectasis
4 bronchiectasis4 bronchiectasis
4 bronchiectasis
 
6 lungcancer
6 lungcancer6 lungcancer
6 lungcancer
 
19 hepatic cirrhosis
19 hepatic cirrhosis19 hepatic cirrhosis
19 hepatic cirrhosis
 
7 cor pulmonale
7 cor pulmonale7 cor pulmonale
7 cor pulmonale
 
23 renal disease
23 renal disease23 renal disease
23 renal disease
 
22 acute pancreatitis
22 acute pancreatitis22 acute pancreatitis
22 acute pancreatitis
 
Uti english ppts
Uti english pptsUti english ppts
Uti english ppts
 
17 pericardial disease
17 pericardial disease17 pericardial disease
17 pericardial disease
 

Similaire à 20 hepatic enchephalopathy

Hepatic encephalopathy final
Hepatic encephalopathy finalHepatic encephalopathy final
Hepatic encephalopathy finalbiplave karki
 
Hepatic encephalopathy [HE]
Hepatic encephalopathy [HE]Hepatic encephalopathy [HE]
Hepatic encephalopathy [HE]Deepak Pradeep
 
Fulminant hepatic failure (fhf)
Fulminant hepatic failure (fhf)Fulminant hepatic failure (fhf)
Fulminant hepatic failure (fhf)Reyad Al_Faky
 
Hepatic Encephalopathy.pptx
Hepatic Encephalopathy.pptxHepatic Encephalopathy.pptx
Hepatic Encephalopathy.pptxmreastniccur
 
ENSEFALOPATI HEPATIKUM ppt.pptx
ENSEFALOPATI HEPATIKUM ppt.pptxENSEFALOPATI HEPATIKUM ppt.pptx
ENSEFALOPATI HEPATIKUM ppt.pptxmarwanfebrian1
 
Hepatic encephalopathy1
Hepatic encephalopathy1Hepatic encephalopathy1
Hepatic encephalopathy1Naseem Badarna
 
Hepatic encephalopathy-28-Sep-2023.pptx
Hepatic encephalopathy-28-Sep-2023.pptxHepatic encephalopathy-28-Sep-2023.pptx
Hepatic encephalopathy-28-Sep-2023.pptxDrHengMScGEH
 
Acute Intermittent Porphyria ( AIP ) Dr Padmesh
Acute Intermittent Porphyria ( AIP ) Dr PadmeshAcute Intermittent Porphyria ( AIP ) Dr Padmesh
Acute Intermittent Porphyria ( AIP ) Dr PadmeshDr Padmesh Vadakepat
 
Neurological manifestation of hepatic diseases
Neurological manifestation of hepatic diseasesNeurological manifestation of hepatic diseases
Neurological manifestation of hepatic diseasesNeurologyKota
 
Diagnosis of Liver Disease in Dogs & Cats
Diagnosis of Liver Disease in Dogs & Cats Diagnosis of Liver Disease in Dogs & Cats
Diagnosis of Liver Disease in Dogs & Cats Kanwarpal Dhillon
 
Hepatic encephalopathy
Hepatic encephalopathyHepatic encephalopathy
Hepatic encephalopathyJohn Nguyen
 
LIVER DISEASE PPT.pptx
LIVER DISEASE PPT.pptxLIVER DISEASE PPT.pptx
LIVER DISEASE PPT.pptxfelixtamakloe1
 
Liver anatomy, physiology and imporatance to anesthesia
Liver anatomy, physiology and imporatance to anesthesia Liver anatomy, physiology and imporatance to anesthesia
Liver anatomy, physiology and imporatance to anesthesia Dr. Priyanka Shah
 
Hepatic Failure.pptx
Hepatic Failure.pptxHepatic Failure.pptx
Hepatic Failure.pptxKanchan Devi
 
Drug Induced Liver Disorder
Drug Induced Liver DisorderDrug Induced Liver Disorder
Drug Induced Liver DisorderMerlinMathews3
 
Hepatic Encephalopathy - Medicina Interna II
Hepatic Encephalopathy - Medicina Interna IIHepatic Encephalopathy - Medicina Interna II
Hepatic Encephalopathy - Medicina Interna IIMatias Fernandez Viña
 

Similaire à 20 hepatic enchephalopathy (20)

Hepatic encephalopathy final
Hepatic encephalopathy finalHepatic encephalopathy final
Hepatic encephalopathy final
 
Hepatic encephalopathy [HE]
Hepatic encephalopathy [HE]Hepatic encephalopathy [HE]
Hepatic encephalopathy [HE]
 
Fulminant hepatic failure (fhf)
Fulminant hepatic failure (fhf)Fulminant hepatic failure (fhf)
Fulminant hepatic failure (fhf)
 
5.hepatic encephalopathy
5.hepatic encephalopathy5.hepatic encephalopathy
5.hepatic encephalopathy
 
Hepatic Encephalopathy.pptx
Hepatic Encephalopathy.pptxHepatic Encephalopathy.pptx
Hepatic Encephalopathy.pptx
 
ENSEFALOPATI HEPATIKUM ppt.pptx
ENSEFALOPATI HEPATIKUM ppt.pptxENSEFALOPATI HEPATIKUM ppt.pptx
ENSEFALOPATI HEPATIKUM ppt.pptx
 
Hepatic encephalopathy1
Hepatic encephalopathy1Hepatic encephalopathy1
Hepatic encephalopathy1
 
13 hepatic failure
13 hepatic failure13 hepatic failure
13 hepatic failure
 
Hepatic encephalopathy-28-Sep-2023.pptx
Hepatic encephalopathy-28-Sep-2023.pptxHepatic encephalopathy-28-Sep-2023.pptx
Hepatic encephalopathy-28-Sep-2023.pptx
 
Acute Intermittent Porphyria ( AIP ) Dr Padmesh
Acute Intermittent Porphyria ( AIP ) Dr PadmeshAcute Intermittent Porphyria ( AIP ) Dr Padmesh
Acute Intermittent Porphyria ( AIP ) Dr Padmesh
 
Neurological manifestation of hepatic diseases
Neurological manifestation of hepatic diseasesNeurological manifestation of hepatic diseases
Neurological manifestation of hepatic diseases
 
Diagnosis of Liver Disease in Dogs & Cats
Diagnosis of Liver Disease in Dogs & Cats Diagnosis of Liver Disease in Dogs & Cats
Diagnosis of Liver Disease in Dogs & Cats
 
Hepatic encephalopathy
Hepatic encephalopathyHepatic encephalopathy
Hepatic encephalopathy
 
Pancreatitis.2012
Pancreatitis.2012Pancreatitis.2012
Pancreatitis.2012
 
LIVER DISEASE PPT.pptx
LIVER DISEASE PPT.pptxLIVER DISEASE PPT.pptx
LIVER DISEASE PPT.pptx
 
Liver anatomy, physiology and imporatance to anesthesia
Liver anatomy, physiology and imporatance to anesthesia Liver anatomy, physiology and imporatance to anesthesia
Liver anatomy, physiology and imporatance to anesthesia
 
Hepatic Failure.pptx
Hepatic Failure.pptxHepatic Failure.pptx
Hepatic Failure.pptx
 
Drug Induced Liver Disorder
Drug Induced Liver DisorderDrug Induced Liver Disorder
Drug Induced Liver Disorder
 
Hepatic Encephalopathy - Medicina Interna II
Hepatic Encephalopathy - Medicina Interna IIHepatic Encephalopathy - Medicina Interna II
Hepatic Encephalopathy - Medicina Interna II
 
Hepatic encephalopathy 
Hepatic encephalopathy Hepatic encephalopathy 
Hepatic encephalopathy 
 

Plus de internalmed

内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文internalmed
 
24 glomerular disease
24 glomerular disease24 glomerular disease
24 glomerular diseaseinternalmed
 
21 ulcerative colitis
21 ulcerative colitis21 ulcerative colitis
21 ulcerative colitisinternalmed
 
17 chronic gastritis gao
17 chronic gastritis gao17 chronic gastritis gao
17 chronic gastritis gaointernalmed
 
16 arrhythmias2009
16 arrhythmias200916 arrhythmias2009
16 arrhythmias2009internalmed
 
Chronic renal failure（2010505）
Chronic renal failure（2010505）Chronic renal failure（2010505）
Chronic renal failure（2010505）internalmed
 
Chronic renal failure（2010505）
Chronic renal failure（2010505）Chronic renal failure（2010505）
Chronic renal failure（2010505）internalmed
 
13 respiratory failure
13 respiratory failure13 respiratory failure
13 respiratory failureinternalmed
 
11 heart failure
11 heart failure11 heart failure
11 heart failureinternalmed
 

Plus de internalmed (14)

内分泌总论英文
内分泌总论英文内分泌总论英文
内分泌总论英文
 
24 glomerular disease
24 glomerular disease24 glomerular disease
24 glomerular disease
 
21 ulcerative colitis
21 ulcerative colitis21 ulcerative colitis
21 ulcerative colitis
 
18 peptic ulcer
18 peptic ulcer18 peptic ulcer
18 peptic ulcer
 
17 chronic gastritis gao
17 chronic gastritis gao17 chronic gastritis gao
17 chronic gastritis gao
 
16 arrhythmias2009
16 arrhythmias200916 arrhythmias2009
16 arrhythmias2009
 
Gastric cancer
Gastric cancerGastric cancer
Gastric cancer
 
Chronic renal failure（2010505）
Chronic renal failure（2010505）Chronic renal failure（2010505）
Chronic renal failure（2010505）
 
Gastric cancer
Gastric cancerGastric cancer
Gastric cancer
 
Chronic renal failure（2010505）
Chronic renal failure（2010505）Chronic renal failure（2010505）
Chronic renal failure（2010505）
 
Anemia
AnemiaAnemia
Anemia
 
13 respiratory failure
13 respiratory failure13 respiratory failure
13 respiratory failure
 
11 heart failure
11 heart failure11 heart failure
11 heart failure
 
10 hypertension
10 hypertension10 hypertension
10 hypertension
 

Dernier

The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxheathfieldcps1
 
APM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across SectorsAPM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across SectorsAssociation for Project Management
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsTechSoup
 
Paris 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityParis 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityGeoBlogs
 
The Most Excellent Way | 1 Corinthians 13
The Most Excellent Way | 1 Corinthians 13The Most Excellent Way | 1 Corinthians 13
The Most Excellent Way | 1 Corinthians 13Steve Thomason
 
Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphThiyagu K
 
Web & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdfWeb & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdfJayanti Pande
 
Nutritional Needs Presentation - HLTH 104
Nutritional Needs Presentation - HLTH 104Nutritional Needs Presentation - HLTH 104
Nutritional Needs Presentation - HLTH 104misteraugie
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdfQucHHunhnh
 
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Sapana Sha
 
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...EduSkills OECD
 
Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3JemimahLaneBuaron
 
Separation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and ActinidesSeparation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and ActinidesFatimaKhan178732
 
Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...
Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...
Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...Pooja Nehwal
 
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptx
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptxPOINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptx
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptxSayali Powar
 
Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..Disha Kariya
 

Dernier (20)

The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptx
 
Mattingly "AI & Prompt Design: The Basics of Prompt Design"
Mattingly "AI & Prompt Design: The Basics of Prompt Design"Mattingly "AI & Prompt Design: The Basics of Prompt Design"
Mattingly "AI & Prompt Design: The Basics of Prompt Design"
 
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptxINDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
 
APM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across SectorsAPM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across Sectors
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The Basics
 
Paris 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityParis 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activity
 
The Most Excellent Way | 1 Corinthians 13
The Most Excellent Way | 1 Corinthians 13The Most Excellent Way | 1 Corinthians 13
The Most Excellent Way | 1 Corinthians 13
 
Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot Graph
 
Web & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdfWeb & Social Media Analytics Previous Year Question Paper.pdf
Web & Social Media Analytics Previous Year Question Paper.pdf
 
Nutritional Needs Presentation - HLTH 104
Nutritional Needs Presentation - HLTH 104Nutritional Needs Presentation - HLTH 104
Nutritional Needs Presentation - HLTH 104
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
 
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
 
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
 
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
 
Advance Mobile Application Development class 07
Advance Mobile Application Development class 07Advance Mobile Application Development class 07
Advance Mobile Application Development class 07
 
Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3
 
Separation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and ActinidesSeparation of Lanthanides/ Lanthanides and Actinides
Separation of Lanthanides/ Lanthanides and Actinides
 
Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...
Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...
Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...
 
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptx
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptxPOINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptx
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptx
 
Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..
 

20 hepatic enchephalopathy

  • 1. HEPATIC ENCEPHALOPATHY GAO XIANG Department of Gastroenterology The First Affiliated Hospital
  • 2.
  • 3.
  • 4. Hepatic encephalopathy- A complication of cirrhosis of the liver 0 20 40 60 80 100 120 140 160 0 20 40 60 80 100 Probability of complications (%) Gines et al. Hepatology (1987) 7, 1:122-128 Months
  • 5.
  • 6.
  • 7.
  • 8.  
  • 9.
  • 10.
  • 11.
  • 13.
  • 14.
  • 15.  
  • 16.
  • 17.
  • 18.  
  • 19.
  • 20.
  • 21. DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS
  • 22.
  • 23.
  • 25.
  • 26.
  • 27. Modify colonic flora, resulting in displacement of urease-containing bacteria with lactobacillus Cathartic effect Lower the colonic pH, resulting in the formation of nonabsorbable NH 4 from NH 3 in the colon
  • 28.
  • 29.
  • 30.  
  • 31.
  • 32.
  • 33.
  • 34.