Grades of Hepatic Encephalopathy - West Haven Criteria • Grade 1 - Inattention, euphoria/anxiety, altered sleep pattern, ↓ attention span • Grade 2 - Lethargy, behavior Δs, time disorientation, asterixis, personality Δs, hypoactive DTRs • Grade 3 - Somnolence to semistupor, responsive to stimuli, time & place disorientation, asterixis, hyperactive DTRs • Grade 4 - Coma #WestHaven #Criteria #Hepatic #Encephalopathy #Grading #diagnosis #hepatology #Grades