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
Collateral adjective Collateral adjective A collateral adjective is an adjective that is identified with a particular noun in meaning, but that is not derived from that noun. For example, the word "bovine" is considered the adjectival equivalent of the noun "cow", but it is derived from a different word, which happens to be the Latin word for "cow". Similarly, "lunar" serves as an adjective to describe attributes of the Moon; "moon" comes from Old English "mōna" "moon" and "lunar" from Latin "luna" "moon". The adjective "thermal" and the noun "heat" have a similar semantic relationship. As in these examples, the collateral adjective