Hepatic Encephalopathy Grades/Stages

id

674

full_title

Hepatic Encephalopathy Grades/Stages

short_title

Hepatic Encephalopathy Grades

med_description

West Haven Criteria. Defines criteria for the stages of hepatic encephalopathy.

description

The Hepatic Encephalopathy Grades/Stages defines criteria for the stages of hepatic encephalopathy based on West Haven Criteria.

keywords

Hepatic Encephalopathy, Hepatic Encephalopathy grades, Hepatic Encephalopathy stages, Hepatic Encephalopathy score, Hepatic Encephalopathy calc, Hepatic Encephalopathy criteria, west haven criteria, west haven encephalopathy, west haven encephalopathy hepatic, west haven encephalopathy grade, west haven encephalopathy stages, west haven encephalopathy criteria, west haven hepatic criteria,encephalopathic hepatic, hep enceph, neuro issues hepatic

complaint

[ "Abdominal Pain", "AMS" ]

formula

evidence

measurements

[]

information

refrences

{ "Clinical Practice Guidelines": [ { "href": "", "text": "" } ], "Manufacturer Website": [ { "href": "", "text": "" } ], "Original/Primary Reference": [ { "href": "https://pdfs.semanticscholar.org/dc1b/6482929753520e0557cddacf93d3ab9fd1a4.pdf", "text": "Hepatic Failure: An Evidence Based Approach in the Emergency Department. Emergency Medicine Practice, 2010." } ], "Other References": [ { "href": "", "text": "" } ], "Outcomes": [ { "href": "", "text": "" } ], "Validation": [ { "href": "", "text": "" } ], "Validations": [] }

pearls

usecase

• Patients with known cirrhosis and prior hepatic encephalopathy.
• Patients with or without known cirrhosis but suspected liver disease and altered mental status.

reasons

The West Haven Criteria allow providers to classify severity of encephalopathy, communicate clearly about a patient's level of consciousness, and trend changes in their mental status.

next_advice

• Lactulose is a standard treatment for hepatic encephalopathy
• Ammonia testing may be helpful diagnostically or trending levels
• There should always be consideration to other causes of altered mental status in these patients, as they are at high risk for comorbidities including bleeding, infection, drug interactions, and electrolyte disturbances.

next_actions

next_management

diseases

[ "Cirrhosis", "Hepatitis" ]

instructions

published

2022-04-21T20:29:44.981Z

purpose

[ "Diagnosis" ]

search_terms

[ "west haven criteria", "cirrhosis", "hepatatic" ]

seo

{ "keywords_en": "Hepatic Encephalopathy, Hepatic Encephalopathy grades, Hepatic Encephalopathy stages, Hepatic Encephalopathy score, Hepatic Encephalopathy calc, Hepatic Encephalopathy criteria, west haven criteria, west haven encephalopathy, west haven encephalopathy hepatic, west haven encephalopathy grade, west haven encephalopathy stages, west haven encephalopathy criteria, west haven hepatic criteria,encephalopathic hepatic, hep enceph, neuro issues hepatic", "meta_description_en": "The Hepatic Encephalopathy Grades/Stages defines criteria for the stages of hepatic encephalopathy based on West Haven Criteria." }

specialty

[ "Critical Care", "Emergency Medicine", "Gastroenterology", "Geriatrics", "Hepatology", "Hospitalist Medicine", "Internal Medicine", "Neurology", "Palliative Care/Hospice", "Primary Care" ]

departments

[ "Gastrointestinal", "Neurologic" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 2200, "short_title_en": "FIB-4 Index", "slug": "fibrosis-4-fib-4-index-liver-fibrosis" }, { "calcId": 2693, "short_title_en": "MELD Score (Original)", "slug": "meld-score-original-pre-2016-model-end-stage-liver-disease" }, { "calcId": 78, "short_title_en": "MELD Na (UNOS/OPTN)", "slug": "meld-score-model-end-stage-liver-disease-12-older" } ]

ismed

false

section

[ "whenToUseViewed", "whyUseViewed", "nextStepsViewed" ]

cleaned_departments

[ "gastroenterology", "neurology" ]

cleaned_use

[ "Patients with known cirrhosis and prior hepatic encephalopathy.", "Patients with or without known cirrhosis but suspected liver disease and altered mental status." ]

pub

true