Dimethyl sulfide<unk>  or<unk>  (see spelling differences), also known as breath of the dead or hepatic<unk> , is a condition seen in portal hypertension where portosystemic shunting allows thiols to pass directly into the lungs. It is a late sign in liver failure and is one of the clinical features of hepatic encephalopathy. Other possible causes are the presence of ammonia and ketones in the breath. The breath has a sweet, fecal smell to it and also described as having the odour of freshly mown hay. The compound dimethyl sulfide has been associated with it, raising the possibility of an objective noninvasive measure of liver failure. Furthermore, the volatile dimethyl sulfide is thought by some researchers to be the main contributor to the odor of<unk> . A secondary form of trimethylaminuria is also associated with liver failure, and it has been suggested that that trimethylamine is also a contributor to the odor of<unk> .<unk>  is often associated with an acid - base disorder such as diabetic ketoacidosis or isopropyl alcohol intoxication.
Fetor hepaticus
Liver spot
Order of Saint Lazarus 
Zellballen
Caput succedaneum
Chignon 
Greenpilot
Pelvis justo major