Hepatic encephalopathy Hepatic encephalopathy Hepatic encephalopathy (HE) is an altered level of consciousness as a result of liver failure. Onset may be gradual or sudden. Other symptoms may include movement problems, changes in mood, or changes in personality. In the advanced stages it can result in a coma. Hepatic encephalopathy can occur in those with acute or chronic liver disease. Episodes can be triggered by infections, GI bleeding, constipation, electrolyte problems, or certain medications. The underlying mechanism is believed to involve the buildup of ammonia in the blood, a substance that is normally removed by the liver. The diagnosis is typically made
Adjective phrase I’ve never met a dancer more beautiful than Mary This example showed then entire adjective phrase moving, creating the same ambiguity as example 1. Therefore, the placement of the adjective relative to the subject is important for creating unambiguous statements. a. Ambiguous sentence: All the short blessed people were healed. b. Unambiguous sentence: All the short people blessed were healed. The adjective blessed is ambiguous in pre-nominal position because it creates a restrictive and a nonrestrictive interpretation (1a), while in post-nominal position it only displays a restrictive interpretation (1b). Plus, when the main adjective of the adjective phrase is moved