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 where English uses "to be hungry" ("hungry" being an adjective), Dutch, French, and Spanish use "honger hebben", "avoir faim", and "tener hambre" respectively (literally "to have hunger", the words for "hunger" being nouns). Similarly, where Hebrew uses the adjective זקוק "zaqūq" (roughly "in need of"), English uses the verb "to need". In languages which have adjectives as a word class, they are usually an open class; that is, it is relatively common for new adjectives to be formed via such processes as derivation. However, Bantu languages are well known for having only a small closed class of adjectives, and new