मरीज की रेडियल पल्स (radial pulse) का आकलन करते समय नर्स को नियमित धड़कन महसूस होती है। इस स्थिति में पल्स रेट की गणना करने की मानक और सबसे कुशल विधि क्या है?

A 58-year-old man presents with irritability progressing to confusion and altered sensorium over 2 days. He has a known history of chronic liver disease along with mild renal impairment. His blood glucose level is normal. Which clinical feature MOST strongly supports a diagnosis of hepatic encephalopathy?

Given below are two statements: Assertion (A): Progression from confusion to coma in hepatic encephalopathy is usually sudden without preceding behavioral changes. Reason (R): Metabolic encephalopathies often show a stepwise progressive deterioration of cortical function. In light of the above statements, choose the correct option: