Theory tute on approach to patient with liver disease (1)

 
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One of the main reason for admission of liver failure patient
Rifaximin kills off urease producing bacteria. Takes much longer to work. So good for chronic. Also neomycin and branched chain aminoacids.
 
LOLA stimulates the urea cycle (which metabolizes ammonia to urea) in the liver (16,17
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Asterixes is like negative myoclonus ⇒ momentary lost in tone. And can be due to hypercapnea and other metabolic derangements
 
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