Alcoholic Liver Disease Score | Medical Algorithm

Does the patient have alcoholic liver disease?

Yes

Is a previous CCLI available from the current episode?

Yes

Previous CCLI

Number of days since previous CCLI determined

days

Does the patient show:

• hepatomegaly?

Yes

• splenomegaly?

Yes

• a clinical bleeding tendency?

Yes

• spider nevi?

Yes

• palmar erythema?

Yes

• collateral circulation?

Yes

• peripheral edema?

Yes

• anorexia?

Yes

• weakness?

Yes

Laboratory findings

AST (SGOT)

GGT

Alkaline phosphatase

Serum albumin

Bilirubin

Patient's prothrombin time

seconds

Upper limit of reference range for the prothrombin time

seconds

Select an appropriate answer for each finding

Ascites

Encephalopathy

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

CCLI

Normalization rate

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Intrahepatic Cholestasis Associated with Alcoholic Liver Disease
Laboratory Tests
Other Testing
Criteria For Diagnosis
- Discriminant Function of Maddrey et al and the Modified Discriminant Function of Carithers et al for Steroid Therapy in Severe Alcoholic Hepatitis
- Criteria for Severe Alcoholic Hepatitis
Severity, Prognosis, Stage
Complications
- Discriminant Function of Maddrey et al and the Modified Discriminant Function of Carithers et al for Steroid Therapy in Severe Alcoholic Hepatitis
Differential Diagnosis And Mimics, Red Flags
- Recognition of Acetaminophen Hepatotoxicity in Chronic Alcoholics
- ANI Model for Evaluating Patient with Steatohepatitis

Therapy

Selection

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10

Alcoholic Liver Disease | Combined Clinical & Laboratory Index (CCLI)

Purpose: To use the initial Combined Clinical and Laboratory Index (CCLI) from 1979 to assess the severity of alcoholic liver disease.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10