Hepatic encephalopathy Hepatic encephalopathy Hepatic encephalopathy (HE) is an altered level of consciousness as a result of liver failure. Onset may be gradual or sudden. Other symptoms may include movement problems, changes in mood, or changes in personality. In the advanced stages it can result in a coma. Hepatic encephalopathy can occur in those with acute or chronic liver disease. Episodes can be triggered by infections, GI bleeding, constipation, electrolyte problems, or certain medications. The underlying mechanism is believed to involve the buildup of ammonia in the blood, a substance that is normally removed by the liver. The diagnosis is typically made
Postpositive adjective Postpositive adjective A postpositive or postnominal adjective is an attributive adjective that is placed after the noun or pronoun that it modifies. This contrasts with prepositive adjectives, which come before the noun or pronoun. In some languages the postpositive placement of adjectives is the normal syntax, but in English it is less usual, largely confined to archaic and poetic uses (as in "They heard wights unseen), phrases loaned from Romance languages or Latin (such as "heir apparent, "aqua regia"), and certain particular grammatical constructions (as in "those anxious to leave"). Recognizing postpositive adjectives in English is important for determining the