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Fetor hepaticus hepatic encephalopathy

Hepatic Function Lecture

Fetor hepaticus is a distinctive breath odor associated with hepatic encephalopathy, a condition resulting from the accumulation of toxins in the blood stream that compromises brain function. The breath of someone with hepatic encephalopathy is often characterized as musty and sometimes referred to as breath of the dead Fetor hepaticus Fetor hepaticus is a late sign of liver failure and is one of the clinical features of hepatic encephalopathy where portal hypertension with portosystemic shunting allows thiols to pass directly into your lungs causing sweet, musty aroma of the breath or even slightly fecal aroma 1) Because of the-SH group, these compounds are malodorous and are responsible for the fetor hepaticus that is occasionally encountered in patients with hepatic encephalopathy. Methanethiol is the principal mercaptan in humans and is formed by the catabolism of methionine in the gastrointestinal system Hepatic encephalopathy is a brain disorder that develops in some individuals with liver disease. Hepatic encephalopathy is a complex disorder that encompasses a spectrum or continuum of disease that ranges from a subtle condition with no outward signs or symptoms to a severe form that can cause serious, life-threatening complications Fetor hepaticus or foetor hepaticus (see spelling differences), also known as breath of the dead or hepatic foetor, is a condition seen in portal hypertension where portosystemic shunting allows thiols to pass directly into the lungs. It is a late sign in liver failure and is one of the clinical features of hepatic encephalopathy

Fetor hepaticus is a late sign of hepatocellular failure and indicates the onset of hepatic encephalopathy, a condition in which the consciousness is affected along with other motor parameters, by.. Hepatic encephalopathy is defined as a spectrum of neuropsychiatric abnormalities in patients with liver dysfunction, after exclusion of brain disease. [ 1, 2, 3] Hepatic encephalopathy is.. It could be. You may have hepatic encephalopathy (HE), a disorder caused by a buildup of toxins in the brain that can happen with advanced liver disease. It affects a lot of things, like your..

Fetor hepaticus is associated with severe liver disease, which causes scarring and poor functioning of your liver. This can result in portal hypertension, which refers to increased blood pressure.. Fetor hepaticus is a chronic odor in your breath. It's different from normal bad breath.Usually, your breath is affected by what you eat. You might have an unpleasant odor in the morning. Some patients with hepatic encephalopathy show evidence of fetor hepaticus, a sweet musty aroma of the breath believed to be secondary to the exhalation of mercaptans Fetor hepaticus, the characteristic breath odor in hepatic encephalopathy has called little quantitative attention to breath ammonia. We studied the dynamics of ammonia metabolism in cirrhosis in terms of the relationship between breath and blood ammonia

Hepatic encephalopathy (HE) describes the spectrum of potentially reversible neuropsychiatric abnormalities seen in patients with liver dysfunction. The wide range of neuropsychiatric presentations led to the development of consensus HE classification terminology by the World Congress of Gastroenterology in 2002 Hepatic encephalopathy is a neurologic syndrome that develops as a complication of liver disease. It may be acute and self-limiting or chronic and progressive A musty, sweet breath odor (fetor hepaticus) can occur regardless of the stage of encephalopathy. Diagnosis of Portosystemic Encephalopathy Clinical evaluation. Often adjunctive testing with psychometric evaluation, ammonia level, electroencephalogram (EEG), or a combination Hepatic Encephalopathy in Chronic Liver Disease 2014 Practice.

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What Is Fetor Hepaticus? (with pictures

Fetor hepaticus is a musty sweet odor that is usually evident by casually sniffing the patient's breath. When symptoms of hepatic encephalopathy progress, the patient may slip into a stupor or even comatose state and be virtually unarousable Fecal Hepaticus indicates the beginning of hepatic encephalopathy. In this condition, the consciousness of the patient gets afflicted ultimately. Toxins need to be removed from the blood, to treat Fetus Hepaticus. Veteran doctors claim that the root of a problem has to be addressed hepatic encephalopathy a condition, usually occurring secondary to advanced liver disease, marked by disturbances of consciousness that may progress to deep coma (hepatic coma), psychiatric changes of varying degree, flapping tremor, and fetor hepaticus Hepatic encephalopathy (HE) is a brain disorder caused by chronic liver failure, particularly in alcoholics with cirrhosis, which results in cognitive, psychiatric, and motor impairments. In these patients, the number of functional liver cells is reduced, and some blood is diverted around the liver before toxins are removed Fetor hepaticus (sweet, musty breath smell due to high levels of dimethyl sulfide and ketones in the blood) and asterixis (flapping tremor when the arms are extended and the hands are dorsiflexed) are both features of hepatic encephalopathy that can be seen in cirrhosis

hepatic encephalopathy, was admitted to our hospital because of clouding of He had an episode of recent head trauma. drowsy and exhibited flapping tremor, fetor hepaticus and ascites. Laboratory data showed an increase in blood ammonia level, and a decrease in periphera Hepatic Encephalopathy is a condition where there is live failure resulting in toxic buildup in the blood, which can adversely affect and damage the brain. How does Neomycin Work? Neomycin is classified as a drug under the aminoglycosides class. A class is a group of medicines that have similar mechanisms and can address similar conditions Fetor hepaticus is an advanced sign of hepatocellular failure. This points to the start of hepatic encephalopathy, a condition in which the patient's consciousness is affected in addition to other motor parameters by the elevated levels of toxic substances in the brain 'Fetor hepaticus' is a musty sweet odor (some times referred to as the smell of death) that is usually evident by casually sniffing the patient's breath. When symptoms of hepatic encephalopathy progress, the patient may slip into a stupor or even comatose state and be virtually unarousable Breath of the dead or also known as Fetor Hepaticus is connected to severe liver disease and is one of the possible symptoms of cirrhosis of the liver. This condition is linked to high blood pressure within the liver vein that has been treated with a tube known as a portosystemic shunt (PSS)

Fetor hepaticus is a word used for specific breath odor. This breath odor is produced as a result of hepatic malfunctioning or damage known as encephalopathy. The toxins of brain when accumulated in the blood stream cause hepatic encephalopathy. Fetor hepaticus is also known as breath of the dead Findings on physical examination in hepatic encephalopathy include asterixis and fetor hepaticus. Additional signs and symptoms Many patients with cirrhosis experience fatigue, anorexia, weight loss, and muscle wasting Hepatic encephalopathy is a spectrum of neural and behavioral symptoms like changes in personality, cognitive impairment and depression of consciousness in patients with the liver disorder [in absence of any brain lesion - encephalopathy means disease of brain per se, hepatic means pertaining to liver.]. It is most commonly associated with cirrhosis and liver failure

The symptoms of patients with acute hepatic encephalopathy may start with mental confusion and then progress to decreased motor activity and drowsiness. Asterixis or flapping tremor may be present. A pungent odor, fetor hepaticus, can be detected in the exhaled breath of patients. The patient may become stuporous and then comatose in a matter. Fetor hepaticus is a late sign of hepatocellular failure, and indicates the onset of hepatic encephalopathy, a condition in which the consciousness is affected along with other motor parameters by the elevated levels of toxic substances in the brain. Other conditions associated with fetor hepaticus are diabetic ketoacidosis, and isopropyl. The diagnosis of hepatic encephalopathy is clinical and depends on documentation of the presence of mental status changes, fetor hepaticus (feculent-fruity odor of the breath), and asterixis (flapping motion of the hands caused by intermittent loss of extensor tone) in a patient with parenchymal liver disease with abnormal liver enzymes. A 58-year-old male liver cirrhosis patient, who had a history of recurrent hepatic encephalopathy, was admitted to our hospital because of clouding of consciousness. He had an episode of recent head trauma. On admission, he was drowsy and exhibited flapping tremor, fetor hepaticus and ascites Fetor hepaticus • This is a sour, musty odour in the breath, due to volatile substances normally formed in the stool by bacteria. • These mercaptans if not removed by the liver are excreted through the lungs and appear in the breath. • Fetor hepaticus does not correlate with the degree or duration of encephalopathy and its absence does.

Fetor hepaticus causes, symptoms & treatmen

Strong breath odor (and sometimes odor from the skin) associated with severe liver disease is called Fetor Hepaticus. This can be: -a strong, musty smell. -a combination of rotten eggs and garlic. -a smell of ammonia. -a slightly sweet smell. 3 Portosystemic encephalopathy. Heart failure if severe. Bilateral, asynchronous flapping of dorsiflexed hands with the arms outstretched. Fetor hepaticus. Portosystemic encephalopathy. Sweet, pungent smell. Drowsiness and confusion. Portosystemic encephalopathy Hyperbilirubinemia caused by conditions such as hepatic or biliary disorders.

Fetor Hepaticus - an overview ScienceDirect Topic

Hepatic encephalopathy is a frequent and serious complication of liver cirrhosis; the pathophysiology of this complication is not fully understood although great efforts have been made during the last years. There are few prospective studies on the epidemiology of this complication; however, it is known that it confers with high short-term mortality Fetor Hepaticus; Alcoholic husband with possible liver disease. Prognosis for liver disease patient; Hep C symptom management; Hepatic encephalopathy; For those of you who drank for more than 20 years, what was the tipping poi; why does my breath smell like this; My husband says..... Husband w/end stage cirrhosis for 5.5 yrs, now he's.

CLINICAL. CONFERENCE. Hepatic. Encephalopathy. ANASTACIO. M.. HOYUMPA,. JR.,. M.D.,. PAUL. V.. DESMOND,. M.B.,. B.S.,. GEORGE. R.. AVANT,. M.D., • Fetor hepaticus: a sweet, slightly fecal odor to the breath similar to acetone or old wine due to extensive collateral portal circulation. STAGES • The first stage of hepatic encephalopathy is characterized by an inverted sleep-wake pattern (sleeping by day, being awake at night) Hepatic encephalopathy encompasses a spectrum of neuropsychiatric abnormalities that occur in patients with liver disease in the absence of other brain disease. 1 - 2 The spectrum includes personality changes, impaired mental function, motor abnormalities (asterixis, tremor, hyperventilation, hyperactive reflexes), and altered consciousness. A consensus panel of experts proposed.

Hepatic Encephalopathy - NORD (National Organization for

  1. Terms in this set (13) Change in orientation, asterixis, and fetor hepaticus. A nurse is assessing a client who has advanced cirrhosis. The nurse should identify which of the following indicators of hepatic encephalopathy. Diuretics, beta-blocker, and lactulose. A nurse is caring for a client who has cirrhosis
  2. With hepatic encephalopathy, as the tainted blood moves through the lungs the toxins are expelled in breath, creating fetor hepaticus, which is the scientific name for bad breath associated with liver disease. The breath of someone who has hepatic encephalopathy usually smells musty
  3. Fetor hepaticus: Fetor hepaticus, (sweet or musty smell to the breath), is caused by an accumulation of toxic substances in body fluids due to liver damage. Fetor hepaticus often occurs in individuals with hepatic encephalopathy and portal hypertension. H. Headache: A headache is pain or discomfort ranging from mild to severe in the head.
  4. ant hepatic failure who are previously healthy, because the development of these features requires a relatively longer period of hepatic dysfunction
  5. Hepatic encephalopathy, a life-threatening complication ofliver disease, occurs with profound liver failure and may result from the accumulation of ammonia and other toxic metabolites in the blood. Hepatic coma represents the most advanced stage of hepatic encephalopathy. Occasionally, fetor hepaticus, a sweet, slightly fecal odor to the.
  6. Hepatic Encephalopathy and Coma and End Stage Renal Dse - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. The contents of this presentation is part of my notes in Medical-Surgical Nursing. Since there is considerable progress in the field of Medicine/Nursing, there maybe interventions, drugs of choice, and other related.
  7. Hepatic encephalopathy (HE) is a pathological condition defined by the spectrum of neuropsychiatric abnormalities which result from a liver dysfunction. It is known in the scientific community with a number of different names, such as portosystemic encephalopathy, liver encephalopathy or hepatic coma. Hepatic Encephalopathy (Hepatic Encephalopathy Syndrome): Read more about Symptoms.

Fetor hepaticus - Wikipedi

  1. ation, mental status exa
  2. 3. Definition Hepatic encephalopathy (HE) is a complex metabolic mental state disorder with a spectrum of potentially reversible neuropsychiatric abnormalities seen in patients with severe acute or chronic liver dysfunction after exclusion of other brain diseases. 4
  3. Overt Hepatic Encephalopathy (OHE) seen in decompensated Cirrhosis refers to grades 2-4. Grade 1. Trivial lack of awareness. Euphoria or anxiety. Shortened attention span. Impaired performance of addition or subtraction. Grade 2. Lethargy or apathy. Minimal Disorientation for time or place
  4. Possible causes of Fetor hepaticus (Medical Symptom)Fetor hepaticus or foetor hepaticus, also known as breath of the dead or hepatic foetor, is a condition s..

Fetor Hepaticus 'Breath of the Dead' - News Medica

Common causes of asterixis are hepatic encephalopathy, renal fail- ure, metabolic encephalopathy, CO2 toxicity, and Wilson's disease. A few psychotropic drugs are also associated with asterixis, and, most of the time, it is the combination of psychotropic drugs that can lead to asterixis. Fetor hepaticus is associated with severe liver. Pages 454 ; This preview shows page 72 - 74 out of 454 pages.preview shows page 72 - 74 out of 454 pages An overview of one of the more common complications of cirrhosis, including its pathophysiology (and relationship to ammonia), risk factors, clinical present.. another term for halitosis fetor hepaticus uremic fetor body odor rectal fetor fetor at Dorland s Medical Dictionary Fetor in Miriam - Webster s Online sulfide may be present the breath, leading to an unpleasant smell fetor hepaticus Dimethyl sulfide has a characteristic smell commonly described as these are infrequent in the general population. Such conditions are: Fetor hepaticus an example.

Lactulose is a non-absorbable sugar used in the treatment of constipation and hepatic encephalopathy. Other serious complications include hepatic encephalopathy, bleeding from dilated veins in the esophagus or dilated stomach veins, and liver cancer. Rifaximin, sold under the trade name Xifaxan among others, is an antibiotic used to treat traveler's diarrhea, irritable bowel syndrome, and. Synonyms for fetor hepaticus in Free Thesaurus. Antonyms for fetor hepaticus. 7 synonyms for fetor: foetor, malodor, malodour, reek, stench, stink, mephitis. What are synonyms for fetor hepaticus Synonyms for fetor in Free Thesaurus. Antonyms for fetor. 7 synonyms for fetor: foetor, malodor, malodour, reek, stench, stink, mephitis. What are synonyms for fetor Hepatic encephalopathy (HE) is a brain disorder caused by chronic liver failure, particularly in alcoholics with cirrhosis, which results in cognitive, psychiatric, and motor impairments. liver disease (i.e., fetor hepaticus). •Enhanced rate of breathing (i.e. Hepatic Encephalopathy is a brain disorder that develops in some individuals with liver disease. Approximately 70% of individuals with cirrhosis may develop symptoms of Hepatic Encephalopathy. In some cases, Hepatic Encephalopathy is a short-term problem that can be corrected. It may also occur as part of a chronic problem from liver disease.

Hepatic Encephalopathy: Definition, Pathogenesis, Clinical

  1. Hepatic encephalopathy is an often-temporary neurological (nervous system) disorder due to chronic, severe liver disease. A diseased liver struggles to filter toxins (substances created from the breakdown of food, alcohol, medications and even muscle) from the bloodstream. These toxins build up in the body and travel to the brain
  2. Hepatic Encephalopathy, sometimes referred to as portosystemic encephalopathy or PSE, is a condition that causes temporary worsening of brain function in people with advanced liver disease. When your liver is damaged it can no longer remove toxic substances from your blood. These toxins build up and can travel through your body until they reach.
  3. Fetor hepaticus, a unique musty odor of the breath and urine believed to be due to mercaptans, may be noted in patients with varying stages of hepatic encephalopathy. A characteristic (but nonspecific) symmetric, high-voltage, triphasic slow-wave (2 to 5 per second) pattern on the electroencephalogram
  4. 101 Hepatic Encephalopathy Alvaro Martinez-Camacho, Brett E. Fortune, Gregory T. Everson Hepatic encephalopathy encompasses a spectrum of neuropsychiatric abnormalities that occur in patients with liver disease in the absence of other brain disease.1-2 The spectrum includes personality changes, impaired mental function, motor abnormalities (asterixis, tremor, hyperventilation, hyperactive.

Hepatic encephalopathy-definition, nomenclature,diagnosis, and quantification: final report of the working party at the 11th World Congresses of Gastroenterology, Vienna, 1998. Hepatology 2002; 35:716-721. Ytrebø LM, Sen S, Rose C, et al. Interorgan ammonia, glutamate, and glutamine trafficking in pigs with acute liver failure [published. There is no accurate formula for predicting the lifespan there is no accurate formula for predicting the lifespan of anyone with hepatic encephalopathy which is a complication of end-stage liver disease. Hepatic encephalopathy occurs when toxins b.. who are drowsy. Fetor hepaticus (a sweet, musty smell on the breath from exhalation of unmetabolized mercaptans) may be detected. EEG is widely used in clinical practice in an attempt to confirm hepatic encephalopathy in difficult cases. It classically shows bilateral, synchronous slowing of frequency from alph Diagnosis can often be made during physical examination by checking for fetor hepaticus and asterixis, and evaluating mental status using serial 7's and the A deletion test. Precipitating factors include gastrointestinal bleeding, sepsis, azotemia, sedative or analgesic use, and noncompliance with medications

Cirrhosis Complications: Hepatic Encephalopathy Causes

Hepatic encephalopathy The typical features of hepatic encephalopathy include impaired consciousness (drowsiness), monotonous speech, flat affect, metabolic tremor, muscular incoordination, impaired handwriting, fetor hepaticus, upgoing plantar responses, hypoactive or hyperactive reflexes, and decerebrate posturing Fetor hepaticus is seen in Hepatic failure: Whatever the sequence, 80 to 90% of hepatic functional capacity must be lost before hepatic failure ensues. The alterations that cause liver failure fall into three categories: (A) Acute liver failure- An acute liver illness that is a/w encephalopathy within 6 months after the initial diagnosis Hepatic encephalopathy (HE) is an increasingly prevalent and debilitating condition that occurs in functional hepatic insufficiency. It is marked by fluc-tuating neuropsychiatric and cognitive impairment, which can be severe and life threatening. Hepatic encephalopathy is a diagnosis of exclusion; thus

Hepatic encephalopathy Common precipitants of hepatic encepalopathy Renal failure Gastrointestinal bleeding Infection Constipation Sedative drugs e.g. opiates, benzodiazepines, antidepressants and antipsychotic drugs Diuretics High protein intake Presentation of hepatic encepalopathy Mild o Impairment of attention and decision -making, and may have impaired fitness to drive Other symptoms may be nonspecific (eg, malaise, anorexia) or result from the causative disorder. Fetor hepaticus (a musty or sweet breath odor) and motor dysfunction are common. Tachycardia, tachypnea, and hypotension may occur with or without sepsis. Signs of cerebral edema can include obtundation, coma, bradycardia, and hypertension

Hepatic encephalopathy. Hepatic Encephalopathy also referred to as portosystemic encephalopathy, is a serious but treatable complex neuropsychiatric syndrome (if caught early and treated promptly) that causes temporary worsening of brain function in people with advanced liver disease or chronic liver failure, which in most cases in Western societies is caused by chronic alcohol abuse INDICATION. XIFAXAN ® (rifaximin) 550 mg tablets are indicated for the reduction in risk of overt hepatic encephalopathy (HE) recurrence in adults.. IMPORTANT SAFETY INFORMATION. XIFAXAN is not for everyone. Do not take XIFAXAN if you have a known hypersensitivity to rifaximin, any of the rifamycin antimicrobial agents, or any of the components in XIFAXAN With hepatic encephalopathy, as the tainted blood moves through the lungs the toxins are expelled in breath, creating fetor hepaticus. Ammonia is a byproduct of the digestion of proteins by bacteria in the intestines; normally ammonia is metabolized into urea by the liver and excreted by the kidneys as urine Hepatic Failure/Cirrhosis Jaundice Ascites Hepatic encephalopathy (Asterixis and altered CNS) Hypoalbuminemia Hypoglycemia Spontaneous bacterial peritonitis Hepatorenal syndrome Hyperammonemia Splenomegaly Portopulmonary hypertension Coagulopathy Esophageal varices Fetor hepaticus (breath of the dead) Caput medusae Hyperestrogenism : Spider. Livio Capocaccia, Manuela Merli, Oliviero Riggio (eds) Advances in Hepatic Encephalopathy and Metabolic Nitrogen Exchange, pp. 228-232 ISBN: 084938964

Also Known as Fulminant Hepatic Failure, it is a Syndrome in which hepatic encephalopathy, characterized by mental changes progressing from confusion to stupor and coma, and results from a sudden severe impairment of hepatic function.According to some authors, Acute liver failure is a broad term and encompasses both fulminant hepatic failure and subfulminant hepatic failure El hepaticus del hedor, también conocido como respiración del ` de los muertos', es una condición en la cual la respiración del paciente es algo dulce, mohosa, y de vez en cuando fecal en.

Fetor hepaticus is a particular type of breath odor that occurs with severe liver disease, called hepatic encephalopathy. The breath odor is also associated with hepatic coma. It has a musty, sweet smell, but must be distinguished from other similar breath odor symptoms such as fruity breath odor. It is only at the end stages of the disease that patients present with sequelae of portal hypertension, including fetor hepaticus, spider angioma, ascites, portosystemic encephalopathy, and variceal bleeding with hematemesis or melena; jaundice, edema, and easy bruising due to developed derangements in laboratory parameters, including pancytopenia (in particular thrombocytopenia) on complete. Liver disease can lead to a high volume of dimethyl sulfide in the blood. This causes your breath to take on an unpleasant, musky odor that is known as fetor hepaticus. It is also sometimes known as the breath of the dead. Such a strong and distinct odor is a clear sign that you may have liver disease. Advertisement without liver disease and 8 with hepatic cirrhosis but without encephalopathy. Group B. Seventeen patients with a past history of hepatic encephalopathy char­ acterized by fetor hepaticus, flapping tremor, delirium, and gross slowing of the EEG tracing. The test was explained to th Cirrhosis is characterized by hepatic. parenchymal. necrosis. and an inflammatory response to the underlying cause. Subsequent hepatic repair mechanisms lead to. fibrosis. and abnormal tissue architecture, which impair liver function. Patients can present with a range of symptoms, including. ascites

Compounds linked to advanced liver conditions have included dimethyl sulphide [11, 13, 17], ethanol [14, 15], acetaldehyde [13, 14] and short chain alkanes such as ethane [16] and pentane [13, 16]. As mentioned above, dimethyl sulphide is a component of fetor hepaticus. The links between ethanol, both dietary and endogenous, and the liver are. Hepatic encephalopathy is a diagnosis of exclusion. Other metabolic disorders, infectious diseases, intra- Stage 2. Lethargy or apathy. Disorientation. Inappropriate cranial vascular events, and intracranial space- occupying behavior. fetor hepaticus, liver disease. 1970 Blei et al. AJG - Vol. 96, No. 7, 2001 Table 1.. Hepatic Encephalopathy. This paper will focus on the clinical manifestations of hepatic encephalopathy and its effects on Mrs. X. She is a 64 year old female who has been an alcoholic for more than 40 years. The constant abuse of alcohol has left her with cirrhosis of the liver

Fetor Hepaticus: Smell, Other Symptoms, Causes, and Treatmen

Non-alcoholic hepatic steatosis, or non-alcoholic fatty liver disease (NAFLD), is the most common cause of chronic liver disease in the Western world. It is projected to become a leading indication for liver transplantation, superseding hepatitis C. The diagnosis of hepatic steatosis is based on. Fetor hepaticus Last updated October 11, 2020 Dimethyl sulfide. Fetor hepaticus or foetor hepaticus (see spelling differences), also known as breath of the dead or hepatic foetor, is a condition seen in portal hypertension where portosystemic shunting allows thiols to pass directly into the lungs.It is a late sign in liver failure and is one of the clinical features of hepatic encephalopathy •Hepatic encephalopathy is a key sign of end-stage liver disease. •HE is readily treatable and active interventions can decrease hospital admission rates. •Rifaximin, combined with lactulose, is a common care option for HE management in the community. •Familiarize yourself with guidelines for its diagnosis, classification, and treatment

Fetor Hepaticus: Why Bad Breath Can Be a Symptom of Liver

Does a finding of fetor hepaticus suggest hepatic

Hepatic encephalopathy or portosystemic encephalopathy is a syndrome of largely reversible impairment of brain function occurring in patients with acute or chronic liver failure or when the liver is bypassed by portosystemic shunts. This leads to a spectrum of neurological impairments ranging from subclinical brain dysfunction to coma

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