Hepatic encephalopathy An imbalance between aromatic amino acids (phenylalanine, tryptophan and tyrosine) and branched-chain amino acids (leucine, isoleucine and valine) has been described; this would lead to the generation of false neurotransmitters (such octopamine and 2-hydroxyphenethylamine). Dysregulation of the serotonin system, too, has been reported. Depletion of zinc and accumulation of manganese may play a role. Inflammation elsewhere in the body may precipitate encephalopathy through the action of cytokines and bacterial lipopolysaccharide on astrocytes. The diagnosis of hepatic encephalopathy can only be made in the presence of confirmed liver disease (types A and C) or a portosystemic shunt (type B), as its
Adjective phrase can be used to confirm if "very spicy" is an adjective phrase. codice_3 "Sam ordered a very spicy pizza that was very spicy." Movement tests not only prove that the constituent moved is a stand-alone constituent, but also proves that this phrase "very spicy" is an AP if drawn in a syntax tree. Thus, because this adjective phrase could be moved to the right (pseudocleft), it's sufficient proof that it is both a constituent and an adjective phrase. Although constituency tests can prove the existence of an AP in a sentence, the meanings of these AP may be ambiguous. This