Case of the Week: Gastroenterology

From Graber and Wilbur’s Family Medicine Examination and Board Review, 4th Edition: Gastroenterology: Case 7.13
Case of the Week: Gastroenterology


A 42-year-old male with known hepatitis C who is also a heavy drinker presents to your office because of increasing confusion. He hasn't noticed much of anything (hey, most of his life has been like this …), but his family states that he is somewhat confused and on occasion difficult to wake up. He has a known history of end-stage liver disease. He is supposed to be on a low-protein diet but decided that it was time to start the Atkin low-carbohydrate diet to "lose that gut" (he even found himself a "low carb" beer). So, he has increased his intake of protein.

Question 1 of 6

Which of the following is NOT a common cause of hepatic encephalopathy?

A - GI bleeding

B – Constipation

C - High-carbohydrate diet

D – Sepsis

E - Alteration in gut flora


Click HERE to view the full progressive case and answer all of the questions!

Don't forget to create a MyAccess profile to get the most out of your AccessMedicine subscription!