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 phrase An attributive adjective (phrase) precedes the noun of a noun phrase (e.g. "a very happy" man). A predicative adjective (phrase) follows a linking verb and serves to describe the preceding subject, e.g. "The man is very happy". The adjective phrases are underlined in the following example sentences. The head adjective in each of these phrases is in bold, and how the adjective phrase is functioning—attributively or predicatively—is stated to the right of each example: The distinguishing characteristic of an attributive adjective phrase is that it appears inside the noun phrase that it modifies. An interesting trait of these phrases in