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 the end of the word, as in Latin: In Celtic languages, however, initial consonant lenition marks the adjective with a feminine singular noun, as in Irish: Often, distinction is made here between attributive and predicative usage. In English, adjectives never agree, and in French, they always agree. In German, they agree only when they are used attributively, and in Hungarian, they agree only when they are used predicatively: 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.