Hepatic encephalopathy a fluid sample with a needle) may be required to identify spontaneous bacterial peritonitis (SBP). The severity of hepatic encephalopathy is graded with the West Haven Criteria; this is based on the level of impairment of autonomy, changes in consciousness, intellectual function, behavior, and the dependence on therapy. A classification of hepatic encephalopathy was introduced at the World Congress of Gastroenterology 1998 in Vienna. According to this classification, hepatic encephalopathy is subdivided in type A, B and C depending on the underlying cause. The term "minimal encephalopathy" (MHE) is defined as encephalopathy that does not lead to clinically overt cognitive
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.