hepatic encephalopathy
- related: sbp
- tags: #note
- confusion from liver insufficiency or porto-systemic shunting (bypassing liver)
- after tips: 10-50% of overt HE in 1 year
- overt: asterexis and/or disorientation
- ammonia not needed for diagnosis
- no ppx needed in pts who have never had HE
- precipitating factors