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
Adjective phrase Adjective phrase An adjective phrase (or adjectival phrase) is a phrase the head word of which is an adjective, e.g. "fond of steak", "very happy", "quite upset about it", etc. The adjective can initiate the phrase (e.g. "fond of steak"), conclude the phrase (e.g. "very happy"), or appear in a medial position (e.g. "quite upset about it"). The dependents of the head adjective—i.e. the other words and phrases inside the adjective phrase—are typically adverb or prepositional phrases, but they can also be clauses (e.g. "louder than you are"). Adjectives and adjective phrases function in two basic ways, attributively or predicatively.