RT Journal Article SR Electronic T1 Hepatic encephalopathy: Suspect it early in patients with cirrhosis JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 597 OP 605 DO 10.3949/ccjm.78a10117 VO 78 IS 9 A1 Wakim-Fleming, Jamilé YR 2011 UL http://www.ccjm.org/content/78/9/597.abstract 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.