Question
Which of the following criteria is used to assess the prognosis of the liver condition as represented in the picture below?
A. Child pugh score
B. Milan score
C. Meld score
D. Alvarado score
Show Answer
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Correct Answer » A
Explanation
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Ans: A. Child pugh score
the liver condition as represented in the picture above demonstrates liver cirrhosis.
Child-Pugh score (or the Child–Turcotte–Pugh score or Child Criteria) is used to assess the prognosis of chronic liver disease, mainly cirrhosis.
It is now used to determine the prognosis, as well as the required strength of treatment and the necessity of liver transplantation.
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Factor
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1 point
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2 points
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3 points
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Total bilirubin (μmol/L)
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<34
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34-50
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>50
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Serum albumin (g/L)
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>35
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28-35
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<28
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PT INR
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<1.7
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1.71-2.30
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>2.30
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Ascites
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None
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Mild
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Moderate to Severe
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Hepatic encephalopathy
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None
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Grade I-II (or suppressed with medication)
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Grade III-IV (or refractory)
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Interpretation:
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Points
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Class
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One year survival
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Two-year survival
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5–6
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A
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100%
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85%
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7–9
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B
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81%
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57%
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10–15
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C
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45%
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35%
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