Clinical Case Database / Category: Case Based Discussion

A case of fulminant liver failure

Publication details

Shyam Menon MBBS, MRCP, Alan Bohan MBBChBAO, MD, MRCPI, HDipHRM
Foundation Years Journal, volume 1, issue 3, p.98 (123Doc Education, London, June 2007)


A 75-year-old retired miner with diffuse pulmonary fibrosis presented to the medical assessment unit with a 24-hour history of confusion and agitation. He had been admitted to the hospital 4 weeks before with chest pain. Acute cardiac and respiratory caused were excluded and he was discharged from the unit on Paracetamol, 1g 6-8 hourly as required. Examination demonstrated jaundice, asterixis and Grade III hepatic encephalopathy. He had no stigmata or signs of chronic liver disease or its complications.

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Shyam Menon MBBS, MRCP

SpR in Gastroenterology
Department of Gastroenterology
University Hospital North Staffordshire

Alan Bohan MBBChBAO, MD, MRCPI, HDipHRM (Corresponding author)

Consultant Hepatologist
Department of Gastroenterology
University Hospital North Staffordshire


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