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
Postpositive adjective Postpositive adjective A postpositive or postnominal adjective is an attributive adjective that is placed after the noun or pronoun that it modifies. This contrasts with prepositive adjectives, which come before the noun or pronoun. In some languages the postpositive placement of adjectives is the normal syntax, but in English it is less usual, largely confined to archaic and poetic uses (as in "They heard wights unseen), phrases loaned from Romance languages or Latin (such as "heir apparent, "aqua regia"), and certain particular grammatical constructions (as in "those anxious to leave"). Recognizing postpositive adjectives in English is important for determining the