Hepatic Encephalopathy Grading

Grade I

 • Euphoria/depression, Mild confusion, Slurred speech, Disordered sleep

 • Asterixis: yes/no

 • EEG: Usually normal

Grade II

 • Lethargy, Moderate confusion

 • Asterixis: yes

 • EEG: Abnormal

Grade III

 • Marked confusion, Incoherent, Sleeping but arousable

 • Asterixis: yes

 • EEG: Abnormal

Grade IV

 • Coma

 • Asterixis: no

 • EEG: Abnormal



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