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odromal stage) Slightly altered mood or behaviors (precoma stage) Somnipathy and inappropriate behaviors (lethargic stage) Drowsy and psychopath (coma stage )Deep coma,central nervous system,Four stages of hepatic encephalopathy,第八頁,共二十頁。,第九頁,共二十頁。,Flapping tremor,Patient B. Doctor and patient,第十頁,共二十頁。,Classification,Level Mental Status Flapping tremor Ⅰ Slightly Weak positive Ⅱ Somnipathy and Positive inappropriate Ⅲ Drowsy and Positive psychopath Ⅳ Deep coma