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. 2021 Oct 22;30(Suppl 1):S214–S220. doi: 10.4103/0972-6748.328865

Table 2.

Case summaries of hepatic encephalopathy presenting with alcohol withdrawal

Serial number Age (years) Drinking history Preferred drink Last drink Presenting complaints Recent liver issues LFT Ammonia levels USG First contact physician/psychiatrist/admission? WHC Child-Pugh grade
1 A 42 20 years
EO - 5 years
Undistilled Morning of admission Irritability, irrelevant talks Jaundice 1 month back, melena T.B-2.3
SGOT - 260
ALP - 140
168 Coarse echotexture of liver Psychiatrist Grade 3 C
2 R 45 25 years
EO - 1 year
Undistilled 2 days prior Tremors, irrelevant talks, sleep disturbances
Constipation
2 episodes of melena T-B-1.5 156 Not done EM Grade 2 C
3 N 56 25 years
EO - 6 months
Undistilled One day prior Irrelevant talk, disorganized behavior
Psychotic symptoms
Constipation + Gait abnormality
History of jaundice in the past T-B-1.78 180 Ascites Psychiatrist Grade 3 C
4 S 62 30 years
EO - 4 months
Undistilled One day prior Tremors, restlessness, sleep disturbances 1 episode of hematemesis and melena T-B-5.84 174 Alcoholic steatosis Psychiatrist Grade 2 B

EO – Eye-opener; AST – Aspartate aminotransferase; SGOT – Serum glutamic-oxaloacetic transaminase; ALP – Alkaline phosphatase;. T.B. – Total bilirubin; LFT – Liver function test; USG – Ultra sonogram; WHC – West haven criteria