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
The Great Australian Adjective and Dennis, however excusable, is not the most creditable feature of their writings." C. J. Dennis acknowledged this poem when he came to publish his own work, "The Austra-laise", which uses the same stylistic trick of leaving the reader to supply missing words of their choice. The Great Australian Adjective The Great Australian Adjective is a humorous poem by English writer and poet W. T. Goodge. It was first published in "The Bulletin" magazine on 11 December 1897, the Christmas issue of that publication, and later in the poet's only collection "Hits! Skits! and Jingles!". The poem was originally published