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
Proper adjective as "chauvinistic". In addition, over time, an adjective can lose its capitalization by convention, generally when the word has overshadowed its original reference, such as "gargantuan", "quixotic", "titanic", or "roman" in the term "roman numerals". An adverb formed from a capitalized adjective is itself capitalized. For example: Verbs such as "Canadianize" are written with a capital letter, although not generally described as "proper verbs". Proper adjective In English orthography, the term proper adjective is sometimes applied to adjectives that take initial capital letters, and the term common adjective to those that do not. For example, a person from Boston is