Is it asterixis?
Watch carefully for ten full seconds. Did you notice any flapping of the wrists? If you answered no… you are correct! Congratulations, hepatologist.
Technically, you have not ruled out hepatic encephalopathy. Remember, asterixis may be absent in Grade 1 hepatic encephalopathy as well as minimal hepatic encephalopathy (Grade 0). If you answered incorrectly, return to this post tomorrow and try again!