Thu18November0317AM 9

Components of the Child-Pugh scoring system for chronic liver disease include:

True / False

Creatinine Correct

Albumin Correct

Presence of jaundice Incorrect answer selected

Bilirubin Correct

Presence of encephalopathy Correct

Explanation

The Child-Pugh score utilises albumin, bilirubin, INR, degree of ascites, and presence of encephalopathy. It is mainly utilised in the assessment of severity of liver cirrhosis and chronic liver disease.

The MELD score (model for end stage liver disease) is another commonly used scoring system for chronic liver disease and incorporates bilirubin, creatinine and INR.

The Glasgow alcoholic hepatitis score uses age, bilirubin, white cell count, urea and a prothrombin ratio.

The scoring systems can be used to estimate disease severity, need for referral to specialist centres and need for steroids or consideration of urgent transplantation.

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