20 results
Hand Flapping of Asterixis on Physical Exam
 
70-year-old man, renal transplant, attending hospitalization for acute rejection
movements flapping, asynchronous ... Clinical #Video #hyperammonemia
An Algorithm for the Differential Diagnosis of Hyperammonemia

#Hyperammonemia #differential #diagnosis #causes #Algorithm #Gastroenterology
Differential Diagnosis of Hyperammonemia ... #Hyperammonemia
Differential diagnosis of hyperammonemia

#Hyperammonemia #Ammonia #Drugs #Medications #Differential #Diagnosis #Causes #Table
Differential diagnosis of hyperammonemia ... #Hyperammonemia
Flapping tremors of Asterixis

DDx
- Decompensated cirrhosis or acute liver failure.
- Renal failure /azotemia.
- Respiratory failure with
#Asterixis #hyperammonemia
Non-cirrhotic Hyperammonemia - Differential Diagnosis Framework

Hematologic & Vascular:
 • Multiple myeloma & Acute leukemia (plasma cells
Non-cirrhotic Hyperammonemia ... ASanchez_PS #Hyperammonemia
Schematic representation of the major sources of ammonia production and its excretory pathway (GI = gastrointestinal,
hepatic causes of hyperammonemia ... Pathophysiology #Hyperammonemia
Asterixis is a type of negative myoclonus characterized by irregular lapses of posture of various body
#Asterixis #hyperammonemia
Clinical manifestations of acute liver failure 

Brain: 
Hepatic encephalopathy,  
Cerebral edema,  
Intracranial hypertension,
Hypoglycemia, Hyperammonemia
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
this case, VVI (asynchronous
Patient - Ventilator Asynchronies and Waveforms
 • Wasted Effort
 • Trigger Delay
 • Double Trigger
 •
Patient - Ventilator Asynchronies ... #Ventilator #Asynchronies