Endogenous urea
In patients who bleed, blood with in the intestinal tract is also converted into ammonia by bacteria. In the patient with hepatic disease, the ammonia formed with in the intestine is carried to the liver but because of hepatic dysfunction cannot enter the krebs-Henseleit cycle. Endogenous urea produced with in the gastrointestinal tract also represents important source of ammonia, and gastric ammonia production from urea is a significant factor in patients with azotemia and cirrhosisMedical Billing Training,will help you to do collections and also the pending amounts from the patients
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