Sample interview questions: How do you approach the management of neurological complications in patients with liver disease or other hepatic disorders?
Sample answer:
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Detailed History Taking:
- Thoroughly investigate the patient’s history of liver disease, including the cause, duration, and severity.
- Inquire about any associated symptoms, such as fatigue, abdominal pain, jaundice, pruritus, and encephalopathy.
- Review the patient’s medication history, including medications that may be hepatotoxic or interfere with liver function.
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Physical Examination:
- Assess the patient for signs of liver disease, such as jaundice, scleral icterus, palmar erythema, spider angiomas, and hepatomegaly.
- Perform a neurological examination, including mental status assessment, cranial nerve examination, motor and sensory examination, and coordination testing.
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Laboratory Investigations:
- Liver function tests (LFTs): Measure levels of bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase, and albumin.
- Coagulation studies: Assess prothrombin time (PT), international normalized ratio (INR), and partial thromboplastin time (PTT).
- Complete blood count (CBC): Evaluate for anemia, thrombocytopenia, and leukopenia.
- Ammonia levels: Elevated ammonia levels may indicate hepatic encephalopathy.
- Electrolytes and renal function: Assess for electrolyte imbalances and renal dysfunction.
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Imaging Studies:
- Magnetic resonance imaging (MRI) or computed tomography (CT) of the brain: Visualize structural abnormalities, such as cerebral edema, hemorrhage, or space-occupying lesion… Read full answer
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- Magnetic resonance imaging (MRI) or computed tomography (CT) of the brain: Visualize structural abnormalities, such as cerebral edema, hemorrhage, or space-occupying lesion… Read full answer