By: Chris Bolinger. University Medical Center Lubbock, TX 79415. November 2014.
A 58 y.o. Hispanic male admitted to the hospital for hepatic encephalopathy after being found minimally responsive in his vehicle. Co-morbidities include: alcoholic liver cirrhosis, elevated LFTs, erosive esophagitis, hypertension, seizure due to alcohol withdrawal, and Wernicke’s encephalopathy. Chest X-ray on admission revealed possible pneumonia. Pt was oriented to person, but not place and time. Patient exhibited difficulty following commands and was not initially a candidate for therapy.