Collaborating with Specialists: Primary Care Clinician’s Evolving Role in HE Management

Author(s):

Pamela Kushner, MD, FAAFP ,Nancy Reau, MD

The panel examines the evolving role of primary care clinicians in managing patients with hepatic encephalopathy (HE) and emphasizes the importance of consulting specialists when necessary, providing insights from the perspective of a primary care clinician.

EP: 1.Exploring the Impact of Hepatic Encephalopathy on Patients and Their Families

EP: 2.Educating Primary Care Clinicians on Outpatient HE Management and Ammonia Testing

EP: 3.HE Experts on Symptoms, Risk Factors, Diagnosis Challenges, and Severity Grading

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EP: 4.Collaborating with Specialists: Primary Care Clinician’s Evolving Role in HE Management

EP: 5.Preventing Cirrhosis Progression: Gut-Liver Axis, Circulation, Inflammation

EP: 6.Hepatic Encephalopathy: Exploring Alterations in Microbiota Caused by Liver Disease

EP: 7.Current Hepatic Encephalopathy Therapies Targeting Gut-Liver Axis Disturbance

EP: 8.AASLD Guidelines for Hepatic Encephalopathy: Rifaximin's Role and Safety

EP: 9.Overview of Outpatient Strategies for Optimizing Patient Outcomes in HE

EP: 10.Managing Adverse Effects in HE Treatment

EP: 11.Practical Tips for the Primary Care Clinician Treating HE

EP: 12.Refractory Encephalopathy, Multivitamins and Closing Thoughts

What is the role of the primary care clinician in managing patients with HE? Please describe how this management has changed over the years? Why is this the case?

HE in the same line as providing primary care for hypertension, diabetes etc. and refer to /consult with specialist when needed.

As a primary care clinician, how do I know when to refer a patient with HE out to the hepatologist?