Fetor Hepaticus: Causes & Reasons

Possible Causes for Fetor Hepaticus

There is accompanying fetor hepaticus and asterixis. Patients are stuporous with marked confusion. They are barely responsive to painful stimuli. [enotes.tripod.com]

Moderate Confusion Asterixis Fetor hepaticus Hypothermia Hyperventilation Video on the pathophysiology of hepatic encephalopathy Investigations in hepatic encephalopathy Full [oxfordmedicaleducation.com]

Macronodular Cirrhosis

Fetor hepaticus. Palmar erythema. Terry's nails. Kayser-Fleischer rings. Tattoos. IV tract marks. What is the Child-Pugh scoring system for cirrhosis. [brainscape.com]

hepaticus (musty odor of breath and urine found in cirrhosis with hepatic failure) CHEST: Possible gynecomastia in men ABDOMEN: Tender hepatomegaly (congestive hepatomegaly [encyclopedia.lubopitko-bg.com]

Others Fetor hepaticus (sweet, musty breath smell due to high levels of dimethyl sulfide and ketones in the blood) and asterixis (flapping tremor when the arms are extended [ncbi.nlm.nih.gov]

Portal Cirrhosis

hepaticus Dupuytren's contracture Abdominal symptoms Hepatomegaly (possibly causing RUQ pain) Splenomegaly Ascites Skin changes Generally dry and atrophic Telangiectasia: [amboss.com]

hepaticus, purpura etc. [slideshare.net]

[…] symptoms, including anorexia, fatigue, weakness, and weight loss Cruveilhier-Baumgarten murmur—a venous hum in patients with portal hypertension Dupuytren’s contracture Fetor [aafp.org]

Massive Hepatic Necrosis

hepaticus - characteristic body odor that is variously described as "musty" or "sweet and sour" Palmar erythema (a reflection of local vasodilatation) and spider angiomas [quizlet.com]

Hepatic Failure Clinical Features: Jaundice Hypoalbuminemia  peripheral edema Hyperammonemia  cerebral dysfunction Fetor hepaticus  “musty” or “sweet & sour” body odor [slideshare.net]

[…] regardless of underlying cause Jaundice - almost invariable Hypoalbuminemia - which predisposes to peripheral edema hyperammonemia - plays a major role in cerebral dysfunction Fetor [quizlet.com]

Portacaval Anastomosis

Hepaticus Portal hypertension, Portacaval anastomosis, Thiol, Ammonia, Ketone Biology Acu Publishing (2012-01-10) - ISBN-13: 978-620-0-28594-2 39.00 € Inferior epigastric [morebooks.de]

hepaticus: Occurs in portosystemic encephalopathy of any cause (eg, cirrhosis) Small-sized liver Venous hums: Continuous noises audible in patients with portal hypertension [emedicine.medscape.com]

34.00 € Inferior pancreaticoduodenal artery Superior mesenteric artery, Duodenum, Pancreas, Anastomosis Biology Log Press (2011-12-02) - ISBN-13: 978-613-9-97470-2 29.00 € Fetor [morebooks.de]

Liver Failure

Fetor hepaticus Constructional apraxia Patients cannot reproduce simple designs (e.g. a star of David) Drowsiness and confusion Parotid gland enlargement Spider angiomas Icterus [stanfordmedicine25.stanford.edu]

[…] symptoms, including anorexia, fatigue, weakness, and weight loss Cruveilhier-Baumgarten murmur—a venous hum in patients with portal hypertension Dupuytren’s contracture Fetor [aafp.org]

IVb : •no response Signs Trouble drawing figures, performing mental tasks Asterixis, fetor hepaticus, incontinence Asterixis, hyperreflexia, extensor reflexes, rigidity Areflexia [slideshare.net]

Secondary Biliary Cirrhosis

[…] symptoms, including anorexia, fatigue, weakness, and weight loss Cruveilhier-Baumgarten murmur—a venous hum in patients with portal hypertension Dupuytren’s contracture Fetor [aafp.org]

hepaticus—a sweet, pungent breath odor Gynecomastia Hepatomegaly Jaundice Kayser-Fleischer ring—brown-green ring of copper deposit around the cornea, pathognomonic for Wilson [aafp.org]

Hepatitis C

Signs in patients with decompensated liver disease include the following: Head signs: Icteric sclera, temporal muscle wasting, enlarged parotid gland, cyanosis Fetor hepaticus [emedicine.com]

Primary Biliary Cirrhosis

This may be visible as an increase in abdominal girth.[13] Fetor hepaticus is a musty breath odor resulting from increased dimethyl sulfide.[14] Jaundice, or icterus is yellow [en.wikipedia.org]

Metabolic Encephalopathy

[…] is also associated with liver failure, and it has been suggested that that trimethylamine is also a contributor to the odor of fetor hepaticus.[4] Foetor hepaticus is often [en.wikipedia.org]

Fetor hepaticus or foetor hepaticus (see spelling differences), also known as breath of the dead or hepatic foetor, is a condition seen in portal hypertension where portosystemic [en.wikipedia.org]

Furthermore, the volatile dimethyl sulfide is thought by some researchers to be the main contributor to the odor of fetor hepaticus.[2][3] A secondary form of trimethylaminuria [en.wikipedia.org]

Kernicterus

hepaticus. [medical-dictionary.thefreedictionary.com]

Idiopathic Copper-Associated Cirrhosis

hepaticus Chest Spider naevi, gynaecomastia Abdomen Hepatomegaly, splenomegaly (due to portal hypertension) Ascites, caput medusa Polyneuropathy Scoring systems for chronic [oxfordmedicaleducation.com]

[…] symptoms, including anorexia, fatigue, weakness, and weight loss Cruveilhier-Baumgarten murmur—a venous hum in patients with portal hypertension Dupuytren’s contracture Fetor [aafp.org]

Cryptogenic Presentations of chronic liver disease (CLD) Fatigue Encephalopathy Hands Dupuytren’s contracture, palmar erythema, leuconychia Asterixis Face Jaundiced sclera Fetor [oxfordmedicaleducation.com]

Encephalopathy

hepaticus. [medical-dictionary.thefreedictionary.com]

Fetor hepaticus, a sweet musty odour to the breath, is usually present but is more a sign of liver failure and portosystemic shunting than of hepatic encephalopathy. [en.wikibooks.org]

They may also have a flapping tremor (asterixis), fetor hepaticus (a sweet musty aroma of the breath), hyperventilation and hypothermia. [patient.info]

Portal Hypertension

• Spleenomegaly (Mild to moderate) • Ascites • Anorectal varices • Fetor hepaticus 22. [slideshare.net]

They may also have a flapping tremor (asterixis), fetor hepaticus (a sweet musty aroma of the breath), hyperventilation and hypothermia. [patient.info]

Confusion, liver flap and fetor hepaticus are signs of encephalopathy. Signs of hyperdynamic circulation: bounding pulse, low blood pressure, warm peripheries. [patient.info]

Developmental and Epileptic Encephalopathy

hepaticus. [medical-dictionary.thefreedictionary.com]

[…] advanced liver disease, marked by disturbances of consciousness that may progress to deep coma (hepatic coma), psychiatric changes of varying degree, flapping tremor, and fetor [medical-dictionary.thefreedictionary.com]

Granulomatous Liver Disease

[…] symptoms, including anorexia, fatigue, weakness, and weight loss Cruveilhier-Baumgarten murmur—a venous hum in patients with portal hypertension Dupuytren’s contracture Fetor [aafp.org]

hepaticus ARVs and Hepatotoxicity Many ARVs may cause liver damage, particularly in patients with preexisting liver disease. [hiv.va.gov]

hepaticus—a sweet, pungent breath odor Gynecomastia Hepatomegaly Jaundice Kayser-Fleischer ring—brown-green ring of copper deposit around the cornea, pathognomonic for Wilson [aafp.org]

Hypoglycemic Encephalopathy

Symptoms There is a disturbance of consciousness that may progress to deep coma (hepatic coma), psychiatric changes of varying degree, flapping tremor, and fetor hepaticus [healthcentral.com]

Gastrointestinal Sarcoidosis

The patient had no scleral icterus, palmar erythema, spider angiomata, fetor hepaticus, caput medusa, cutaneous ecchymoses, or any other stigmata of cirrhosis. [mdedge.com]

Acute Liver Failure

A common condition known as fetor hepaticus, which is sweet breath odor, is also a common sign. [symptoma.com]

Fetor hepaticus (a musty or sweet breath odor) and motor dysfunction are common. Tachycardia, tachypnea, and hypotension may occur with or without sepsis. [merckmanuals.com]

Lead Encephalopathy

hepaticus. [medical-dictionary.thefreedictionary.com]

Chronic Hepatopathy

hepaticus CLD Urinary Cu (Wilson’s disease)Abdomen / Ascites Caput medusaepelvis ± tenderness – SBP, Hepatomegaly ± tenderness, note Management of CLD pancreatitis, malignancy [slideshare.net]

[…] symptoms, including anorexia, fatigue, weakness, and weight loss Cruveilhier-Baumgarten murmur—a venous hum in patients with portal hypertension Dupuytren’s contracture Fetor [aafp.org]

Hepatic Vein Occlusion

Confusion, liver flap and fetor hepaticus are signs of encephalopathy. Signs of hyperdynamic circulation: bounding pulse, low blood pressure, warm peripheries. [patient.info]

Passive Congestion of the Liver

[…] symptoms, including anorexia, fatigue, weakness, and weight loss Cruveilhier-Baumgarten murmur—a venous hum in patients with portal hypertension Dupuytren’s contracture Fetor [aafp.org]

hepaticus—a sweet, pungent breath odor Gynecomastia Hepatomegaly Jaundice Kayser-Fleischer ring—brown-green ring of copper deposit around the cornea, pathognomonic for Wilson [aafp.org]

Toxic Liver Disease

hepaticus ARVs and Hepatotoxicity Many ARVs may cause liver damage, particularly in patients with preexisting liver disease. [hiv.va.gov]

Palpable left lobe of the liver Splenomegaly Ascites Clubbing Asterixis Gynecomastia Testicular atrophy Temporal wasting Hypertrophic osteoarthropathy Dupuytren contracture Fetor [hiv.va.gov]

Hereditary North American Indian Childhood Cirrhosis

[…] symptoms, including anorexia, fatigue, weakness, and weight loss Cruveilhier-Baumgarten murmur—a venous hum in patients with portal hypertension Dupuytren’s contracture Fetor [aafp.org]

hepaticus—a sweet, pungent breath odor Gynecomastia Hepatomegaly Jaundice Kayser-Fleischer ring—brown-green ring of copper deposit around the cornea, pathognomonic for Wilson [aafp.org]

Toxic Encephalopathy

hepaticus. [medical-dictionary.thefreedictionary.com]

Mesenteric-Portal Fistula

Confusion, liver flap and fetor hepaticus are signs of encephalopathy. Signs of hyperdynamic circulation: bounding pulse, low blood pressure, warm peripheries. [patient.info]

Syphilitic Liver Cirrhosis

hepaticus Hepatic encephalopathy Other features: pigmentation, digital clubbing, low grade fever, Miasmatic Representation Chief characters a. [homeobook.com]

[…] amenorrhoea Hemorrhagic tendency: easy bruising, purpura, epistaxis, menorrhagia Portal hypertension: splenomegaly, prominent collaterals on the abdomen, variceal bleeding, fetor [homeobook.com]

Splenic Vein Thrombosis

Confusion, liver flap and fetor hepaticus are signs of encephalopathy. Signs of hyperdynamic circulation: bounding pulse, low blood pressure, warm peripheries. [patient.info]

Hyperornithinemia

hepaticus (hepatic fetor) 肝性昏睡 hepatic coma 癌胎児性抗原 carcinoembryonic antigen 肝動脈門脈シャント hepatic arterial portal shunt カントリー線 Cantlie line (Rex-Cantlie line) 肝脾腫 hepatosplenomegaly [jsge.or.jp]

[…] surgical liver biopsy CTガイド肝生検 CT-guided liver biopsy 針生検 needle biopsy 腹腔鏡下肝生検 liver biopsy under laparoscopic control laparoscopic liver biopsy 肝生検針 liver biopsy needle 肝性口臭 fetor [jsge.or.jp]