Hyperammonemia-induced encephalopathy: A rare devastating complication of bariatric surgery

Figure 1 Algorithm for hyperammonemia workup in patients with normal hepatic panel. The arterial pH and blood glucose are among the initial tests to identify etiology of non-hepatic hyperammonemia.

Figure 2 Algorithm of urea cycle disorder workup. Citrulline level, arginosuccinic acid level, and orotic acid level are the primary tests in the workup of urea cycle disorder.