Early Symptoms Liver Failure | Medical Algorithm

Are you evaluating a patient with fulminant hepatitis?

Yes

Has the patient been previously diagnosed with homozygous Wilson's disease?

Yes

Has a close relative been diagnosed with Wilson's disease?

Yes

Does a liver biopsy show a markedly elevated hepatic copper level?

Yes

Is the free (non-ceruloplasmin bound) copper 2 or more times the upper limit of normal?

Yes

24 hours urine volume

Copper concentration of 24 hour urine

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

24 hour urinary copper excretion

Number of reasons to consider Wilson's disease as a possible explanation for the fulminant hepatitis

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Fulminant Hepatitis B | Prognostic Factors
- Risk Factors for Mortality in Patient with Paracetamol-Induced Fulminant Hepatic Failure
Clinical Diagnosis, Including Family History For Genetics
- Probability of Fatal Outcome in Fulminant Hepatic Failure due to Acetaminophen
- Fulminant Autoimmune Hepatitis | Indications for Liver Transplantation
Imaging Studies
- Prognostic Formula for Patient with Acute Liver Failure
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Differential Diagnosis And Mimics, Red Flags
- Liver Injury Unit (LIU) Scoring System for Pediatric Acute Liver Failure (PALF)
- BiLE (Bilirubin, Lactate, Etiology) Score for Acute Liver Failure (ALF)

Therapy

Selection

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10

Diagnosis of Fulminant Hepatic Failure in Wilson's Disease

Purpose: To identify a patient with fulminant hepatic failure who should be evaluated for Wilson's disease.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10