A primary factor causing encephalopathy with cirrhosis is the elevated:

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The primary factor causing encephalopathy with cirrhosis is the elevated serum ammonia levels. In cirrhosis, the liver cannot convert ammonia into urea, leading to an accumulation of ammonia in the bloodstream. This interrupts brain function and can lead to encephalopathy. Elevated serum urea levels (choice A) and elevated bilirubin levels (choice B) are not directly associated with encephalopathy in cirrhosis. Serum pH (choice D) may be affected in cirrhosis, but it is not a primary factor in the development of encephalopathy.

A Primary Factor Causing Encephalopathy with Cirrhosis Is the Elevated