A patient with cirrhosis becomes more confused and has a flapping hand tremor. Which complication should be considered?
- AEsophageal variceal bleeding
- BHepatic encephalopathy
- CAscites-related breathlessness
- DCholestatic pruritus
Show answer and explanations
Answer
B
A
Varices typically present with hematemesis or melena, not tremor and confusion alone.
B
Confusion with asterixis is characteristic of hepatic encephalopathy from ammonia buildup.
C
Ascites can impair breathing but does not cause asterixis.
D
Itching from bile salts does not explain confusion or a flapping tremor.