title: Legal Responsibilities of Physicians When They Diagnose Hepatic Encephalopathy.
abstract: Both covert hepatic encephalopathy (CHE) and overt hepatic encephalopathy (OHE) impair the ability to operate machinery. The legal responsibilities of US physicians who diagnose and treat patients with hepatic encephalopathy vary among states. It is imperative that physicians know the laws regarding reporting in their state. OHE represents a neuropsychiatric impairment that meets general reporting criteria. The medical advisory boards of the states have not identified OHE as a reportable condition. In the absence of validated diagnostic guidelines, physicians are not obligated to perform tests for CHE. There is a need for explicit guidance from professional associations regarding this issue.
authors.affiliation: Departments of Medicine and Surgery, Baylor St Luke's Liver Center, Baylor College of Medicine, 6620 Main Street, Suite 1425, Houston, TX 77030, USA. Electronic address: vierling@bcm.edu.
authors.forename: John M
authors.initials: JM
authors.lastname: Vierling
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control; D001334:Automobile Driving / Q000331:legislation & jurisprudence* / Q000523:psychology; D003072:Cognition Disorders / Q000209:etiology*; D003219:Confidentiality; D006501:Hepatic Encephalopathy / Q000175:diagnosis* / Q000523:psychology* / Q000628:therapy; D006801:Humans; D016365:Liability, Legal; D019221:Mandatory Reporting; D010820:Physicians / Q000331:legislation & jurisprudence*; D012720:Severity of Illness Index
keywords: Cirrhosis; Cognition; Covert hepatic encephalopathy; Hepatic encephalopathy; Legal affairs; Motor function; Overt hepatic encephalopathy; Portal hypertension