Hepatic Encephalopathy - Revision history

Bhavisha: /* Prognosis */

2016-05-21T10:21:27Z

Prognosis

Bara at 18:51, 6 July 2012

2012-07-06T18:51:26Z

Bara at 18:57, 18 December 2011

2011-12-18T18:57:42Z

Bara at 18:55, 18 December 2011

2011-12-18T18:55:17Z

Kaustubhgarud: /* Treatment */

2011-12-17T16:54:25Z

Treatment

Bara: /* References */

2010-12-20T17:48:09Z

References

Bara: Text replace - "Category:Dog - Neurological System" to "Category:Neurological Diseases - Dog"

2010-12-16T15:52:52Z

Text replace - "Category:Dog - Neurological System" to "Category:Neurological Diseases - Dog"

Bara: Text replace - "Category:Liver Pathology - Dog" to "Category:Liver Diseases - Dog"

2010-12-16T15:25:29Z

Text replace - "Category:Liver Pathology - Dog" to "Category:Liver Diseases - Dog"

Bara: /* References */

2010-12-14T18:22:24Z

References

Bara: /* References */

2010-12-14T18:22:09Z

References

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 {{Learning
 |literature search = [http://www.cabdirect.org/search.html?q=%28%28title%3A%28%22Portosystemic+encephalopathy%22%29%29%29+OR+%28%28title%3A%28%22Hepatic+coma%22%29%29%29+OR+%28%28title%3A%28%22Hepatic+Encephalopathy%22%29%29%29 Hepatic Encephalopathy publications]
 }}

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 Also known as: '''''Portosystemic encephalopathy — Hepatic coma
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 {{review}}
 [[Category:Liver_-_General_Pathology]]

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 In cases of PSS, the prognosis in dogs for resolution of clinical signs after total surgical ligation is excellent.  However, the response to surgical intervention in cats is less promising than in dogs.
-==Literature Search==
+{{Learning
-[[File:CABI logo.jpg|left|90px]]
+|literature search = [http://www.cabdirect.org/search.html?q=%28%28title%3A%28%22Portosystemic+encephalopathy%22%29%29%29+OR+%28%28title%3A%28%22Hepatic+coma%22%29%29%29+OR+%28%28title%3A%28%22Hepatic+Encephalopathy%22%29%29%29 Hepatic Encephalopathy publications]
+}}
 ==References==

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 Also known as: '''''Portosystemic encephalopathy — Hepatic coma
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 *When the animal is to be fed, a '''diet with a high carbohydrate, low protein (2g/kg/day) and low fat''' content is recommended.  Both soluble and insoluble fibre may be beneficial in appropriate quantities as the former traps ammonia in the colon and the latter reduces intestinal transit time and prevents constipation.  In an animals with PSS or severe hepatic insufficiency, it may not be advisable to restrict protein too assiduously as these animals are likely to be [[Hypoalbuminaemia|hypoalbuminaemic]].
 *'''Seizures''' should be treated with anticonvulsant medication but [[Benzodiazepines|benzodiazepines]] should be avoided as they may worsen the HE.
-*Inclusion of [[L - Ornithine-l-aspartate]] enzymes, which accelerate the urea cycle and in turn facilitate conversion of ammonia to urea; may be helpful in acute episodes of HE. It may also be recommended to prevent HE in patients with severe hepatic functional compromise. It can, however, be safely used in patients with normal renal function.
+*Inclusion of L - Ornithine-l-aspartate enzymes, which accelerate the urea cycle and in turn facilitate conversion of ammonia to urea; may be helpful in acute episodes of HE. It may also be recommended to prevent HE in patients with severe hepatic functional compromise. It can, however, be safely used in patients with normal renal function.
 ==Prognosis==
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+{{review}}

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 *When the animal is to be fed, a '''diet with a high carbohydrate, low protein (2g/kg/day) and low fat''' content is recommended.  Both soluble and insoluble fibre may be beneficial in appropriate quantities as the former traps ammonia in the colon and the latter reduces intestinal transit time and prevents constipation.  In an animals with PSS or severe hepatic insufficiency, it may not be advisable to restrict protein too assiduously as these animals are likely to be [[Hypoalbuminaemia|hypoalbuminaemic]].
 *'''Seizures''' should be treated with anticonvulsant medication but [[Benzodiazepines|benzodiazepines]] should be avoided as they may worsen the HE.
 ==Prognosis==

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 [[Category:Liver_-_General_Pathology]]
-[[Category:Liver Diseases - Dog]][[Category:Cat]]
+[[Category:Liver Diseases - Dog]][[Category:Liver Diseases - Cat]]
-[[Category:Neurological Diseases - Dog]]
+[[Category:Neurological Diseases - Dog]][[Category:Neurological Diseases - Cat]]
 [[Category:Expert_Review]]

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 [[Category:Liver_-_General_Pathology]]
 [[Category:Liver Pathology - Dog]][[Category:Cat]]
-[[Dog - Neurological System]]
+[[Category:Dog - Neurological System]]
 [[Category:Expert_Review]]