04-09-2007, 01:18 AM
What is the Mechanism by which High Volume Paracentesis causes Hepatic Encephalopathy??
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Hepatic Encephalopathy - ben
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04-14-2007, 07:39 PM
may be taking too much fluid has something to do with it all of sudden..cant think any other thing
04-14-2007, 08:52 PM
Large volume paracentesis ---> decrease effective blood volume, decrease more serum albumin due to reestablished the ascites---> decrease renal blood perfusion --> increase risk of hepatorenal syndrome. Decrease renal function can lead to increase of NH3 and others intermediates ---> risk of hepatic encephalopathy
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