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HE Precipitant Search — RACP Adult Medicine MCQ

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EasyGastroenterology & HepatologyHE Precipitant SearchRACP Adult Medicine

A 62-year-old man with HE and ammonia 95 µmol/L has ascites. What precipitants should be sought?

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Correct answer: AConstipation, infection (SBP, UTI, pneumonia), GI bleeding, electrolytes, medications

CHIMES: Constipation, Haemorrhage, Infection (perform diagnostic paracentesis), Medications, Electrolytes, Shunts. Treating precipitant is key.

Reference: eTG – 2025 – Gastrointestinal; EASL – 2022