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Clinical signs vary depending on the severity of hepatic dysfunction, early signs are often subtle and may be missed. Clinical signs may be associated with feeding.
 
Clinical signs vary depending on the severity of hepatic dysfunction, early signs are often subtle and may be missed. Clinical signs may be associated with feeding.
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*Depression
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Four clinical stages have been described for hepatic encephalopathy:
*Lethargy
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* Stage I: Mild changes in mentation
*Head pressing
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* Stage II: Depressed mental state, lethargy, behavioural changes, head pressing, ataxia and dysphagia.
*Dysphagia
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* Stage III: Somnolent but rousable. Reactions may be very reduced or exagerrated.
*Ataxia
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* Stage IV: Coma, Seizures rae atypical but may occur in late stages of the syndrome.
*Behavioural changes
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*Seizures
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*Coma
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*Death
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Clinical signs associated with hepatic disease  
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Additional clinical signs associated with hepatic disease:
 
*Weight loss
 
*Weight loss
 
*Diarrhoea
 
*Diarrhoea
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