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2009.06.12 Quiz: Fulminant Hepatic Failure

Which is the following is incorrect about fulminant hepatic failure?
A. High peripheral vascular resistance and low cardiac output
B. Can be caused by herpes simplex virus (HSV) transmitted by herpes labialis
C. low serum Na and low K
D. cerebral edema

Answer: A

Typically it should be low peripheral vascular resistance and high CO. Herpes simplex virus is a cause, see the case "Kiss of Death" below.

Reference
Brian B. Graham, M.D., Daniel R. Kaul, M.D., Sanjay Saint, M.D., M.P.H., and William J. Janssen, M.D. Clinical Problem Solving: Kiss of Death. NEJM Volume 360:2564-2568 June 11, 2009 Number 24