chronic alcoholism can result in a cirrhotic liver/failed liver.
with this comes liver dysfxn, and the liver is not able to perform
its usual fxn of converting ammonia to urea in the urea cycle as
well => hyperammonemia. neural dysfxn is a consequence of this
accumulation of ammonia, and the the cz of what is known as
"asterixis" aka the "flapping tremor."
- some UC med student, year 2