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 Adjective In linguistics, an adjective (abbreviated ) is a describing word, the main syntactic role of which is to qualify a noun or noun phrase, giving more information about the object signified. Adjectives are one of the English parts of speech, although they were historically classed together with the nouns. Certain words that were traditionally considered to be adjectives, including "the", "this", "my", etc., are today usually classed separately, as determiners. "Adjective" comes from Latin "" "additional (noun)", a calque of . In the grammatical tradition of Latin and Greek, because adjectives were inflected for gender, number, and case like