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Review of Clinical Signs Review Questions

Answer 4
  1. Grade 2. Hepatic encephalopathy can be graded as follows2:
    Grade 0: Normal mental status. Asterixis absent.
    Grade 1: Mild confusion. Asterixis can be detected.
    Grade 2: Lethargy with inappropriate behavior. Obvious asterixis.
    Grade 3: Somnolent with incomprehensible speech and marked confusion
    Grade 4: Coma

2 Blei AT, Cordoba J. Hepatic encephalopathy. Practice Parameters of the American College of Gastroenterology. Am J Gastroenterol 2001;96:1968-1976.

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