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
Adjective in context. Determiners generally do this by indicating definiteness (as in "a" vs. "the"), quantity (as in "one" vs. "some" vs. "many"), or another such property. An adjective acts as the head of an "adjective phrase" or "adjectival phrase" (AP). In the simplest case, an adjective phrase consists solely of the adjective; more complex adjective phrases may contain one or more adverbs modifying the adjective (""very" strong"), or one or more complements (such as "worth "several dollars"", "full "of toys"", or "eager "to please""). In English, attributive adjective phrases that include complements typically follow the noun that they qualify ("an