Key messages

• There is no specific diagnostic test.

• Classical presentation is with jaundice, coagulopathy, and encephalopathy in the absence of previous liver disease.

• Liver function tests (apart from plasma bilirubin concentration) are of little value in the diagnosis or assessment of severity.

• Assessment involves consideration of the need to transfer the patient, determination of the cause, and assessment of prognosis.

• Both the King's College and the Clichy criteria have good positive predictive value but are unable to identify the subgroup at low risk of death.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

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