Hepatic encephalopathy a fluid sample with a needle) may be required to identify spontaneous bacterial peritonitis (SBP). The severity of hepatic encephalopathy is graded with the West Haven Criteria; this is based on the level of impairment of autonomy, changes in consciousness, intellectual function, behavior, and the dependence on therapy. A classification of hepatic encephalopathy was introduced at the World Congress of Gastroenterology 1998 in Vienna. According to this classification, hepatic encephalopathy is subdivided in type A, B and C depending on the underlying cause. The term "minimal encephalopathy" (MHE) is defined as encephalopathy that does not lead to clinically overt cognitive
Spermaceti organ Spermaceti organ The spermaceti organ is an organ that commonly appears in the heads of toothed whales of the family Physeteroidea, in particular the sperm whale. This organ contains a waxy liquid called spermaceti and is involved in the generation of sound. In the modern day Great Sperm Whale ("Physeter macrocephalus"), the spermaceti organ is far larger in proportion to the animal’s body than what would be explained by simple allometry, and the evolution of the organ has caused changes in basal skull morphology, which may implicate tradeoffs were made that compromised the functionality of other nearby features. The high