Hematemesis

Marc J. Kahn, MD

Tulane University School of Medicine, New Orleans, LA

Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.

VI. PROGNOSIS/CLINICAL COURSE

Modified Child-Pugh Classification of Liver Disease
 
  Numerical Score
1 2 3
Ascites None Slight Mod/severe
Encephalopathy None Grade 1-2 Grade 3-4
Albumin (mg/L) >3.5 2.8-3.5 <2.8
Bilirubin (mg/dL) <2.0 2.0-3.0 >3.0
PT (seconds increased) <4 4-6 >6
 
Total Numerical Score Child-Pugh Class
5-6 A
7-9 B
10-15 C

The Child-Pugh class assesses the risk of death from liver disease. Determine the patient’s numerical score (1, 2 or 3) for each of the five parameters in the table above. Based on his total numerical score, what is his Child-Pugh class?

A
B
C


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