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
Spermaceti organ Spermaceti organ The spermaceti organ is an organ that commonly appears in the heads of toothed whales of the family Physeteroidea, in particular the sperm whale. This organ contains a waxy liquid called spermaceti and is involved in the generation of sound. In the modern day Great Sperm Whale ("Physeter macrocephalus"), the spermaceti organ is far larger in proportion to the animal’s body than what would be explained by simple allometry, and the evolution of the organ has caused changes in basal skull morphology, which may implicate tradeoffs were made that compromised the functionality of other nearby features. The high