Conditions precipitating Hepatic encephalopathy 1. UGI bleed 2. Decreased stool frequency 3. Hypokalemia ( maybe cause of 2) 4.SBP 5. Metabolic alkalosis 6. Alcohol binge again 7. New onset Hepatitis b/c/a/e 8.large volume parecentesis without albumin cover with renal failure 9. Diuretic overdose with potential hypokalemia. 10. High protien diet
Sir, I have a case who had delirium tremens and deranged LFT with myopathy. we have given sufficient benzos, 2 weeks are already over, LFT has come down to normal, but still, difficulty in walking, slurring, disorientation at times, and memory deficits are there. MRI- Basal ganglia, red nuclei, substantia nigra region, some susceptibility is there, along with moderate cerebral atrophy and mild cerebellar degeneration. Hemat- shows neutrophilia, LFT, KFT, vitamin levels, and electrolytes are normal. Autoimmune profile- scl +, urine K+, and Cl_ were in the lower range. Any thoughts about the differentials?
If it was obstructive jaundice then bile would have precipitated in the subcutaneous tissue causing itching, but in case of hepatocellular jaundice, liver cells are damaged so they do not produce conjugated bile well enough for it to deposit in the subcutaneous tissue. Thats why no itching means cause is hepatocellular
in Hutchison, whisky & gin are considered under spirit with 40% alcohol by volume •followed by wine(12%) •very strong lagers(6%) •standard-strength beer(3.5%)
@@jagadeesanmymails not judging him from home. Judging him based on other case presentations people have given on this very channel. Atleast while presenting to such a great faculty like Dr.Archit Baloor, the student should be on point and nothing short of excellent.
Conditions precipitating Hepatic encephalopathy
1. UGI bleed
2. Decreased stool frequency
3. Hypokalemia ( maybe cause of 2)
4.SBP
5. Metabolic alkalosis
6. Alcohol binge again
7. New onset Hepatitis b/c/a/e
8.large volume parecentesis without albumin cover with renal failure
9. Diuretic overdose with potential hypokalemia.
10. High protien diet
Thankyou so much for this it helped a lot
I am a family practitioner in Andhra Pradesh in rural area, 76 years and great opportunity for me to learn
He is clearly looking the book and answering
Proud to be a student of archith boloor sir .. 3rd year mbbs student at kmc mangalore
Please make more case presentation with prof.Dr Archith sir , It will be very helpful for students like us 😊
The boy should learn to listen. Missed many points from sir.
Very true this guy should learn to listen
Any session with Archith sir is a blessing 🙌
Yaa😇
My favorite sir
Good presentation and valuable case discussion.Thanks a lot sir..Marvelous Teachings.
we want more lecture from archith boloor sir.
great teacher...every lecture is full with wisdom
nice presentation and nice guidance by doctor
Sir… good presentation. Please include treatment
I feel this guy has seen marrow practical case of Rakesh Nair sir and saying whatever sir told in that video with same sequence
Lol broo have some shameee ok! He is faaar better than them! Get a life broo! Shamlesssslym posting
😂
😂
🤣🤣
But I think Rakesh sir have read archit boloor sir's text book and told the same sequence in his video
The boy need to learn more, he felt like what he teached was something that he was not heared of..
How do we describe chronic alcoholism or occasional alcoholism
I chuckled on the fatty liver precipitating hepatic encephalopathy part.
Please make the same case video with some upto the mark Student
Yeah and someone who doesn’t interrupt every chance he gets and answers just anything randomly!
Infection
Gi bleed
Constipation
Hypokalemia
Hyponatremia
Large volume paracentesis
Met alkalosis
Diuretics
Hypotension
High protein diet
Wonderful 👍
Hats off sir..
He is looking and answering....someone is prompting
Thanks sir for your valuable lecture
Wow what a session 👏 love from 🇵🇰
Thanks for this ❤
This fellow needs to listen sir first. At every instances he is annoying.
Thank you white army ✨
Thank you so much sir ✨
Thank you so much❤
This guy got chance to present case to sir and I guess he blew up
He did well, don't guess ! listen to complete presentation and decide
no use supporting the boy's stand...he is literally surfing thru his notes while A great teacher is with him on zoom call.
There's a delay. Probably he was facing connectivity problems
Did you present any case in here...just curious
Upload the complete video please
Really helpful sir
Neuro case presentation was so good…compared to this
Yeah cuz unlike this one they were actively listening and not interrupting every chance he gets!
Thank you sir🙏🏻
Sir, I have a case who had delirium tremens and deranged LFT with myopathy. we have given sufficient benzos, 2 weeks are already over, LFT has come down to normal, but still, difficulty in walking, slurring, disorientation at times, and memory deficits are there. MRI- Basal ganglia, red nuclei, substantia nigra region, some susceptibility is there, along with moderate cerebral atrophy and mild cerebellar degeneration. Hemat- shows neutrophilia, LFT, KFT, vitamin levels, and electrolytes are normal. Autoimmune profile- scl +, urine K+, and Cl_ were in the lower range. Any thoughts about the differentials?
Inj Thiamine ,b12,folic acid given or not sir
Nice work bro....keep it up.. 👍👍
Nutritional deficiency- sparse hair
Which murmur sir said in 1:43:09 ? I didn’t understand it, thank you.
Cruveilhier baungartan sign
hemichorea, possible infarct or hyperglycemia
Loss of protein in the stool or malabsorption syndrome
Megaloblastic anemia
I didnt get that " no itching means hepatocellular jaundice"????? Can anybody clear this
If it was obstructive jaundice then bile would have precipitated in the subcutaneous tissue causing itching, but in case of hepatocellular jaundice, liver cells are damaged so they do not produce conjugated bile well enough for it to deposit in the subcutaneous tissue. Thats why no itching means cause is hepatocellular
Spirit😂😂😂
in Hutchison, whisky & gin are considered under spirit with 40% alcohol by volume
•followed by wine(12%)
•very strong lagers(6%)
•standard-strength beer(3.5%)
can anyone please tell books of dr acrhith
pdf may be
Archit baloor general medicine book
Most common cause is alcoholic since vaccination has decreased the trends of hepatitis b n c
What's tat criteria for alcoholic
Cage criteria
The guy is very interrupting
How to check testicular sensation sir ?
Just press it ,
Don't press , not a button , hold it and squeeze slightly
1:29:46
DAA
👌🏼👌🏼👌🏼👌🏼👌🏼
This student needs to study harder.
Bro, abhi final year ki study start kare toh 17 jaan tak ho hayegi kya? Plzz tell😥😥
@@s.b.m7858 Yes
Easily
He answered well only💯✌️
Stop judging him sitting at home, at least he has volunteered to present! 🐕
@@jagadeesanmymails not judging him from home. Judging him based on other case presentations people have given on this very channel.
Atleast while presenting to such a great faculty like Dr.Archit Baloor, the student should be on point and nothing short of excellent.
👍
Thank you so much Sir 😊
Thank you sir❤❤❤