Case Report on Metabolic Encephalopathy.

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Mr. Vishesh Fulkar , Mrs. Mayuri Yelekar , Mrs. Leena Pahune , Aniket Pathade, Bharat S. Sudame

Abstract

Background: Encephalopathy means disorder or damage of brain . In modern use the term encephalopathy doesn’t refer to a single disease bit rather to a syndrome of overall brain dysfunction.. So Metabolic Encephalopathy is a symptom of organ dysfunction caused by pathological conditions such as diabetes, cardiovascular disease, liver disease, and renal failure. The most common cause of consciousness abnormalities in systemic disease is metabolic encephalopathy, which is defined as a change in consciousness induced by distributed or global brain dysfunction due to decreased cerebral metabolism. Mostly occurs around  65 years of age.  In this conditions damage the brain and patient have unconscious status. Diabetic brain ketoacidosis can cause metabolic encephalopathy, which is a rare but potentially fatal consequence. This case illustrates a young man's rapid cognitive impairment as a result of a metabolic encephalopathy complication. The goal of these case studies is to illustrate metabolic issues.


Main symptoms and /or important clinical finding : Altered behavior in 15days , relevant talk in 15days. Generalised weaknesses 15days ,patient lead H/O failure episode in hospital the blood test are done in which total WBC count are 11400, HB level 8.4. , total RBC count 3.41. Sodium 125, albumin 2.9, lactate 2.1, total protein 4.9.


The main diagnose therapeutic interventions and outcomes: Inj. Piptaz 4.5mg tds,  Inj. Pantoprazole 40mg od , Inj.  Emset  4mg tds, Inj. Livepsy 500mg BD , as per doctor’s advices. 


Conclusion : Metabolic encephalopathy is a serious condition and can be controlled with timely initiation of treatment and care.

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