West Haven Criteria for Hepatic Encephalopathy Grading Grade 1 - Trivial lack of awareness - Euphoria or anxiety - Shortened attention span - Impaired performance of addition Grade 2 - Lethargy or apathy - Minimal disorientation for time or place - Subtle personality change - Inappropriate behavior - Impaired performance of subtraction Grade 3 - Somnolence to semi-stupor, but responsive to verbal stimuli - Confusion - Gross disorientation Grade 4 - Coma (unresponsive to verbal or noxious stimuli) #Diagnosis #WestHaven #Criteria #Hepatic #Encephalopathy #Grading
