Hepatic encephalopathy get a liver transplant, the risk of death is less than 30% over the subsequent five years. The condition has been described since at least 1860. The mildest form of hepatic encephalopathy is difficult to detect clinically, but may be demonstrated on neuropsychological testing. It is experienced as forgetfulness, mild confusion, and irritability. The first stage of hepatic encephalopathy is characterised by an inverted sleep-wake pattern (sleeping by day, being awake at night). The second stage is marked by lethargy and personality changes. The third stage is marked by worsened confusion. The fourth stage is marked by a progression to
Adjective the end of the word, as in Latin: In Celtic languages, however, initial consonant lenition marks the adjective with a feminine singular noun, as in Irish: Often, distinction is made here between attributive and predicative usage. In English, adjectives never agree, and in French, they always agree. In German, they agree only when they are used attributively, and in Hungarian, they agree only when they are used predicatively: Adjective In linguistics, an adjective (abbreviated ) is a describing word, the main syntactic role of which is to qualify a noun or noun phrase, giving more information about the object signified.