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Disease Information for Hepatic encephalopathy: Clinical Manifestations

Signs & Symptoms: Spider nevi/angiomata/Abdominal sign
: Alcohol drinking intolerance/new; Caput medusa/abdomen; Meat intolerance; Signs of ascites
: Breath odor musty fish/unpleasant; Breath odor of Ammonia; Breath odor of Clover/Unpleasant; Characteristic breath odor
: Cirrhotic facies; Fetor hepaticus; Jaundice/Yellow skin and eyes; Liver flap tremor/Asterixis; Liver palms/erythema; Yellow eyeballs/Scleral icterus
: Hypertonia; Palmar Erythema/Redness
: Abnormal movements/involuntary; Acalcula/Dyscalcula; Active reflexes; Altered mental status Mental status change; Babinski's upgoing toes/bilateral; Behavior problems; Blackouts/Event amnesia/temporary; Clonus/bilateral ankle (sustained); CNS symptoms/signs; Cognitive defect; Confusion/agitation on exam; Confusion/Disoriented; Daytime Sleepiness; Delirium; Delirium/Agitated delirium; Difficulty concentrating/Distraction/Forgetful; Drowsiness/somnolence; Easily confused/sedated with benzodiazepines; Fluctuating consciousness; Handwriting progressive decline; Hyperkinetic Movement Disorder; Hyperreflexia/DTRs increased; Impaired judgement/signs; Insomnia, PM type; Irritability/short tempered; Lethargy/torpor; Memory Loss in Elderly; Mental Slowing Deteriation; Motor slowing; Near recall/memory deficit/defect; Obtunded/poorly responsive status/signs; Personality change; Reversed/perverse sleep pattern/rhythm; Seizures; Sleep attacks/extreme daytime drowsiness; Slurred speech; Slurred Speech/Acute; Slurred speech/Chronic; Stupor/poor reponse to stimulus; Sudden unconsciousness; Tremor; Tremor in Elderly; Unconscious/Narcosis status
: Hyperpnea
: Psychiatric manifestations/problems/difficulties
: Hypersomnia/Increased need for sleep; Infant peevish/irritable/fretful
Typical Clinical Presentation: Coma with normal Head CT Scan; Presentation/Painless/jaundice
Clinical Presentation & Variations: Presentation/Chronic Jaundice
Disease Progression: Course/Eventual terminal event/death possible

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