Hepatic encephalopathy a fluid sample with a needle) may be required to identify spontaneous bacterial peritonitis (SBP). The severity of hepatic encephalopathy is graded with the West Haven Criteria; this is based on the level of impairment of autonomy, changes in consciousness, intellectual function, behavior, and the dependence on therapy. A classification of hepatic encephalopathy was introduced at the World Congress of Gastroenterology 1998 in Vienna. According to this classification, hepatic encephalopathy is subdivided in type A, B and C depending on the underlying cause. The term "minimal encephalopathy" (MHE) is defined as encephalopathy that does not lead to clinically overt cognitive
Proper adjective Proper adjective In English orthography, the term proper adjective is sometimes applied to adjectives that take initial capital letters, and the term common adjective to those that do not. For example, a person from Boston is Bostonian. "Bostonian" is a proper adjective. These terms are used informally only; they are not used by grammarians or linguists. The term "proper noun" denotes a noun that, grammatically speaking, identifies a specific unique entity; for example, "England" is a proper noun, because it is a name for a specific country, whereas "dog" is not a proper noun; it is, rather, a "common noun"