Hepatic encephalopathy An imbalance between aromatic amino acids (phenylalanine, tryptophan and tyrosine) and branched-chain amino acids (leucine, isoleucine and valine) has been described; this would lead to the generation of false neurotransmitters (such octopamine and 2-hydroxyphenethylamine). Dysregulation of the serotonin system, too, has been reported. Depletion of zinc and accumulation of manganese may play a role. Inflammation elsewhere in the body may precipitate encephalopathy through the action of cytokines and bacterial lipopolysaccharide on astrocytes. The diagnosis of hepatic encephalopathy can only be made in the presence of confirmed liver disease (types A and C) or a portosystemic shunt (type B), as its
Adjective phrase phrase "of wealth" modifies "a man" in a manner similar to how an adjective phrase would, and it can be reworded with an adjective, e.g. "Mr Clinton is a wealthy man". A more accurate term for such cases is "phrasal attributive" or "attributive phrase". Constituency tests can also be used to identify adjectives and adjective phrases. Here are the three constituency tests, according to X-bar theory, that prove the adjective phrase is both a constituent, and an AP. Sentence = Sam ordered a very spicy pizza. 1) Coordination tests can be used to confirm if "very spicy" is an adjective