Abstract

Dr. Sayoni Sengupta*

ABSTRACT

Hepatic Encephalopathy (HE) is broadly defined as a reversible and metabolically induces neuropsychiatric complication, often associated with cirrhosis. Manifestations mainly occur due to the accumulations of toxic substances in the liver, which are actively removed by the liver. The present case study deals with the study of a 70 years female patient, admitted with the complaints of confused and disoriented conditions. It was also accompanied by nausea, vomiting, low grade intermittent fever, pedal swelling, anorexia and also generalized weakness. Laboratory tests performed included complete sodium and potassium (serum), blood count, urea and creatinine tests, liver function tests, plasma ammonia and also the USG of whole abdomen. The reports investigated diffusely hyper echoic and coarse echo texture, thickened gall bladder and also splenomegaly. The final diagnosis reported was primary HE, along with esophageal candidiasis, hyperammonemia, hypothyroidism, hypernatremia, Parkinsonism and also lower respiratory tract infection.