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
Nominalized adjective number and nominative case. "Den Alten" is a similar inflection but in the accusative case. The nominalized adjective is derived from the adjective "alt" and surfaces as it does by taking the appropriate inflection. Like in English, adjectival nouns are used as a plural definite ("the unemployed") and with nationality words ("the Swedish"). However, Swedish does not require "one or ones" with count nouns ("The old cat is slower than the new (one)"). The use of inflection, which incorporates the number and the gender of the noun, allows Swedish to avoid the need for a visible noun to describe a