Cirrhosis: Difference between revisions

Revision as of 17:31, 15 June 2016

	+1	+2	+3
Bilirubin	<2 mg/dL	2-3 mg/dL	>3 Mg/dL
Albumin	>3.5 mg/dL	2.8-3.5 mg/dL	<2.8 mg/dL
INR	<1.7	1.7-2.2	>2.2
Ascites	No ascites	Ascites, medically controlled	Ascites, poorly controlled
Encephalopathy	No encephalopathy	Encephalopathy, medically controlled	Encephalopathy, poorly controlled

Authors:

@@ Line 4: / Line 4: @@
 ===Clinical Features===
+'''[http://www.mdcalc.com/child-pugh-score-for-cirrhosis-mortality/ Child-Pugh Classification for Cirrhosis Mortality]'''
+{| class="wikitable"
+|-
+!  !! +1 !! +2 !! +3
+|-
+| Bilirubin|| <2 mg/dL || 2-3 mg/dL || >3 Mg/dL
+|-
+| Albumin || >3.5 mg/dL || 2.8-3.5 mg/dL || <2.8 mg/dL
+|-
+| INR || <1.7 || 1.7-2.2 || >2.2
+|-
+|Ascites || No ascites || Ascites, medically controlled || Ascites, poorly controlled
+|-
+| Encephalopathy || No encephalopathy || Encephalopathy, medically controlled || Encephalopathy, poorly controlled
+|}
+* Score ≤ 7 = Class A = 100% and 85% one and two-year patient survival
+* Score 7 - 9 = Class B = 80% and 60% one and two-year patient survival
+* Score ≥ 10 = Class c = 45% and 35% one and two-year patient survival
+<br />
+'''[http://www.mdcalc.com/meld-score-model-for-end-stage-liver-disease-12-and-older/ MELD-Na Score (Model End Stage Liver Disease)]'''
+{| class="wikitable"
+|-
+! MELD-Na Score !! 3-month mortality
+|-
+| 40 || 71.3%
+|-
+| 30-39 || 52.6%
+|-
+| 20-29 || 19.6%
+|-
+| 10-19 || 6.0%
+|-
+| <9 || 1.9%
+|}
 ===Management===
 ===Disposition===