Treatment for poosystemic encephalopathy is all except: (A) High protein diet, (B) Lactulose, (C) Oral neomycin, (D) Enema
Answer is A. It most often results from high gut protein or acute metabolic stress (eg, GI bleeding, infection, electrolyte abnormality) in a patient with poosystemic shunting. Symptoms are mainly neuropsychiatric (eg, confusion, asterixis, coma). Diagnosis is based on clinical findings. Ref Davidson edition23rd pg 864