PT - JOURNAL ARTICLE AU - Wakim-Fleming, Jamilé TI - Hepatic encephalopathy: Suspect it early in patients with cirrhosis AID - 10.3949/ccjm.78a10117 DP - 2011 Sep 01 TA - Cleveland Clinic Journal of Medicine PG - 597--605 VI - 78 IP - 9 4099 - http://www.ccjm.org/content/78/9/597.short 4100 - http://www.ccjm.org/content/78/9/597.full SO - Cleve Clin J Med2011 Sep 01; 78 AB - As viral hepatitis and nonalcoholic fatty liver disease continue to increase in prevalence, we will see more cases of hepatic encephalopathy. Primary care physicians are often the first to suspect it, as they are familiar with the patient’s usual mental and physical status. This serious complication typically occurs in patients with severe comorbidities and requires multidisciplinary evaluation and care.