AccessMedicine's Case of the Week: Gastroenterology

From: Graber and Wilbur's Family Medicine Examination and Board Review
AccessMedicine's 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 recently decided to start a running regimen and has been “carb loading” on boxed mac and cheese.

Question 1 of 7

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 answer the remaining questions and complete the case!

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