Differentiation of hepatic encephalopathy from delirium tremens: A case series and review

Hepatic encephalopathy (HE) is an important and potentially life threatening complication in alcoholic patients with decompensated liver function that develop even as they continue drinking. Delirium tremens, on the other hand, is an acute condition resulting from alcohol abstinence in a person depe...

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Autores principales:	Spandana Devabhaktuni, Prajakta Patkar, V Pooja, Sana Dhamija, Nishtha Gupta, Suprakash Chaudhury, Daniel Saldanha
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	chronic alcoholic liver disease delirium tremens hepatic encephalopathy Psychiatry RC435-571 Industrial psychology HF5548.7-5548.85
Acceso en línea:	https://doaj.org/article/014fbcfcc1044e209a8fab7294d206f1
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spelling	oai:doaj.org-article:014fbcfcc1044e209a8fab7294d206f12021-11-12T10:11:30ZDifferentiation of hepatic encephalopathy from delirium tremens: A case series and review0972-67480976-279510.4103/0972-6748.328865https://doaj.org/article/014fbcfcc1044e209a8fab7294d206f12021-01-01T00:00:00Zhttp://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2021;volume=30;issue=3;spage=214;epage=220;aulast=Devabhaktunihttps://doaj.org/toc/0972-6748https://doaj.org/toc/0976-2795Hepatic encephalopathy (HE) is an important and potentially life threatening complication in alcoholic patients with decompensated liver function that develop even as they continue drinking. Delirium tremens, on the other hand, is an acute condition resulting from alcohol abstinence in a person dependent on alcohol, making it a life threatening diagnosis that requires intensive care and successful management of the withdrawal. Often in medical wards, these two conditions are mistaken and so is the management plan confused with each other. Making the right diagnosis early on during the hospital course is extremely important in these critical conditions so as to make an appropriate schedule for treatment and a better outcome for the same. A case series of patients who presented with a diagnostic dilemma is reported. Clinical examinations, diagnostic tools to measure the levels of ammonia and liver function tests and hemogram, West Haven criteria and Child–Pugh grading, and clinical scales of these patients are reported. Increased levels of ammonia were present in all the cases. The subtle similarities in the presentation of the two conditions often make it confusing for the clinician to distinguish between them. Using a simple test of measuring ammonia levels in the blood helps in such situations. The detection of raised levels of ammonia in cases of chronic liver disease helps in not just the diagnosis but also is an important prognostic indicator for development of HE.Spandana DevabhaktuniPrajakta PatkarV PoojaSana DhamijaNishtha GuptaSuprakash ChaudhuryDaniel SaldanhaWolters Kluwer Medknow Publicationsarticlechronic alcoholic liver diseasedelirium tremenshepatic encephalopathyPsychiatryRC435-571Industrial psychologyHF5548.7-5548.85ENIndustrial Psychiatry Journal, Vol 30, Iss 3, Pp 214-220 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic alcoholic liver disease delirium tremens hepatic encephalopathy Psychiatry RC435-571 Industrial psychology HF5548.7-5548.85
spellingShingle	chronic alcoholic liver disease delirium tremens hepatic encephalopathy Psychiatry RC435-571 Industrial psychology HF5548.7-5548.85 Spandana Devabhaktuni Prajakta Patkar V Pooja Sana Dhamija Nishtha Gupta Suprakash Chaudhury Daniel Saldanha Differentiation of hepatic encephalopathy from delirium tremens: A case series and review
description	Hepatic encephalopathy (HE) is an important and potentially life threatening complication in alcoholic patients with decompensated liver function that develop even as they continue drinking. Delirium tremens, on the other hand, is an acute condition resulting from alcohol abstinence in a person dependent on alcohol, making it a life threatening diagnosis that requires intensive care and successful management of the withdrawal. Often in medical wards, these two conditions are mistaken and so is the management plan confused with each other. Making the right diagnosis early on during the hospital course is extremely important in these critical conditions so as to make an appropriate schedule for treatment and a better outcome for the same. A case series of patients who presented with a diagnostic dilemma is reported. Clinical examinations, diagnostic tools to measure the levels of ammonia and liver function tests and hemogram, West Haven criteria and Child–Pugh grading, and clinical scales of these patients are reported. Increased levels of ammonia were present in all the cases. The subtle similarities in the presentation of the two conditions often make it confusing for the clinician to distinguish between them. Using a simple test of measuring ammonia levels in the blood helps in such situations. The detection of raised levels of ammonia in cases of chronic liver disease helps in not just the diagnosis but also is an important prognostic indicator for development of HE.
format	article
author	Spandana Devabhaktuni Prajakta Patkar V Pooja Sana Dhamija Nishtha Gupta Suprakash Chaudhury Daniel Saldanha
author_facet	Spandana Devabhaktuni Prajakta Patkar V Pooja Sana Dhamija Nishtha Gupta Suprakash Chaudhury Daniel Saldanha
author_sort	Spandana Devabhaktuni
title	Differentiation of hepatic encephalopathy from delirium tremens: A case series and review
title_short	Differentiation of hepatic encephalopathy from delirium tremens: A case series and review
title_full	Differentiation of hepatic encephalopathy from delirium tremens: A case series and review
title_fullStr	Differentiation of hepatic encephalopathy from delirium tremens: A case series and review
title_full_unstemmed	Differentiation of hepatic encephalopathy from delirium tremens: A case series and review
title_sort	differentiation of hepatic encephalopathy from delirium tremens: a case series and review
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/014fbcfcc1044e209a8fab7294d206f1
work_keys_str_mv	AT spandanadevabhaktuni differentiationofhepaticencephalopathyfromdeliriumtremensacaseseriesandreview AT prajaktapatkar differentiationofhepaticencephalopathyfromdeliriumtremensacaseseriesandreview AT vpooja differentiationofhepaticencephalopathyfromdeliriumtremensacaseseriesandreview AT sanadhamija differentiationofhepaticencephalopathyfromdeliriumtremensacaseseriesandreview AT nishthagupta differentiationofhepaticencephalopathyfromdeliriumtremensacaseseriesandreview AT suprakashchaudhury differentiationofhepaticencephalopathyfromdeliriumtremensacaseseriesandreview AT danielsaldanha differentiationofhepaticencephalopathyfromdeliriumtremensacaseseriesandreview
_version_	1718430969427394560

Differentiation of hepatic encephalopathy from delirium tremens: A case series and review

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