Hepatic encephalopathy differential diagnosis: Difference between revisions

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==Differentiating X from other Diseases==
==Differentiating X from other Diseases==
*Hepatic encephalopathy must be differentiated from other diseases that cause [[personality changes]], altered level of [[consciousness]] and [[Intellectual impairment|intellectual disturbance]], complicated [[alcohol withdrawal]], Wernicke encephalopathy, [[alcohol intoxication]], [[Metabolic diseases|metabolic abnormalities]]([[hypoglycemia]], [[Electrolyte disturbance|electrolyte imbalance]], [[hypercarbia]], and [[uremia]]) , [[sedative]] overdose, altered [[intracranial pressure]](intra[[cranial]] [[Tumor|tumors]], ,[[subdural hematoma]], [[Intracranial hemorrhage|intracranial bleeding]] and [[Intracranial abscess|abscesses]]), [[intoxication]] by chemical agents, [[malnutrition]], [[hypoxia]] of brain, and sever intra[[Cranial|crania]]<nowiki/>l or systemic [[Infection|infections]]([[meningitis]] and [[encephalitis]]).
*Hepatic encephalopathy must be differentiated from other diseases that cause [[personality changes]], altered level of [[consciousness]] and [[Intellectual impairment|intellectual disabilities]], complicated [[alcohol withdrawal]], [[Wernicke's encephalopathy|Wernicke encephalopathy]], [[alcohol intoxication]], [[Metabolic diseases|metabolic abnormalities]]([[hypoglycemia]], [[Electrolyte disturbance|electrolyte imbalance]], [[hypercarbia]], and [[uremia]]) ,toxic encephalopathy from drugs([[sedative]], salicylates, antidepressants and antipsychotic drugs), altered [[intracranial pressure]](intra[[cranial]] [[Tumor|tumors]], ,[[subdural hematoma]], [[Intracranial hemorrhage|intracranial bleeding]] and [[Intracranial abscess|abscesses]]), [[intoxication]] by chemical agents, [[malnutrition]], [[hypoxia]] of brain, and sever intra[[Cranial|crania]]<nowiki/>l or systemic [[Infection|infections]]([[meningitis]] and [[encephalitis]]).
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* Toxic encephalopathy from alcohol intake, such as acute intoxication, alcohol withdrawal, and Wernicke encephalopathy
* Toxic encephalopathy from drugs, such as sedative hypnotics, antidepressants, antipsychotic agents, and salicylates
* Organic brain syndrome
* Organic brain syndrome
* Postseizure encephalopathy
* Postseizure encephalopathy

Revision as of 16:52, 15 December 2017

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Overview

Overview

Hepatic encephalopathy must be differentiated from other diseases that cause personality changes, altered level of consciousness and intellectual disturbance, such as ,complicated alcohol withdrawal, metabolic disorders, sedative overdose, altered intracranial pressure(intracranial tumors, hemorrhage and abscesses) , intoxication by chemical agents, malnutrition, alcohol intoxication, hypoxia of brain, uremia and sever intracranial or systemic infections.

Differentiating X from other Diseases

  • y
  • Organic brain syndrome
  • Postseizure encephalopathy

Preferred Table

Diseases History and Symptoms Physical Examination Laboratory Findings Other Findings
Finding

1

Finding 2 Finding 3 Finding

4

Physical Finding 1 Physical Finding 2 Physical Finding 3 Physical Finding 4 Lab Test 1 Lab Test 2 Lab Test 3 Lab Test 4
Differential Diagnosis 1 +
Differential Diagnosis 2 -
Differential Diagnosis 3
Differential Diagnosis 4
Differential Diagnosis 5
Differential Diagnosis 6
Differential Diagnosis 7
Differential Diagnosis 8
Differential Diagnosis 9
Differential Diagnosis 10
Differential Diagnosis 11

Use if the above table can not be made

Differential Diagnosis Similar Features Differentiating Features
Differential 1
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
Differential 2
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
Differential 3
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
Differential 4
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
Differential 5
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
  • On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].

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