Question
Score shown in the photograph below is used for ?
A. Chronic liver failure.
B. Chronic liver disease.
C. Acute cholecystitis.
D. Acute Hepatitis.
Show Answer
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Correct Answer » B Explanation |
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The score shown in the picture above represents Child Pugh score.
The Child-Pugh score is a scoring system to measure the severity of chronic liver disease inclusive of cirrhosis . The intention is to provide a system with which clinicians can objectively communicate about liver function.
The score is composed from several categories:
total bilirubin, μmol/l (mg/dl
- <34: 1 point
- 34-50: 2 points
- >50: 3 points serum albumin, g/l
- >35: 1 point
- 28-35: 2 points
- <28: 3 points INR
- <1.7: 1 point
- 1.7-2.3: 2 points
- >2.3: 3 points presence of ascites
- none: 1 point
- mild: 2 points
- moderate to severe: 3 points presence of hepatic encephalopathy
- none: 1 point
- grades I-II (or suppressed with medication): 2 point
- grades III-IV (or refractory): 3 point
The point scores are then added up and classified as:
- class A: 5-6 points
- class B: 7-9 points
- class C: 10-15 points
If the patient has primary biliary cirrhosis or sclerosing cholangitis then bilirubin is classified as 2:
- <68: 1 point
- 68–170: 2 points
- >170: 3 point