Stage 1: Normal LOC with periods of lethargy and euphoria, Reversal of Day-Night sleep patterns, Stage 2: Increased drowsiness, Disorientation, Inappropriate behavior, Mood swings, Agitation, Stage 3: Stuperous, Difficult to arouse, Sleeps most of the time, Marked confusion, Incoherent speech, Stage 4: Comatose, May not respond to painful stimuli ,

Hepatic Encephalopathy

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