Paracetamol / Acetaminophen-Induced Acute Liver Failure | Criteria for Liver Transplantation

Purpose: To determine if a person with paracetamol-induced liver failure should undergo liver transplantation using the modified King's College Hospital criteria.

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Evaluation

Are you evaluating a patient with fulmi-nant hepatic failure following paracetamol (acetaminophen) poisoning?

Yes

Arterial lactate after early fluid resuscitation

Arterial lactate after adequate fluid resuscitation,

Arterial pH after adequate fluid resuscitation

Serum creatinine

INR

Level of hepatic encephalopathy

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of indications for listing the patient for liver transplantation

Number of additional indications for strongly considering liver transplantation

Should the patient be considered for liver transplantation?

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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
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

Therapy

Selection

Specialty

Gastroenterology
Surgery, general

Objective

laboratory tests
other testing
severity
prognosis
stage
selection

ICD-10

T39.1 - Poisoning, 4-aminophenol derivatives
K72.0 - Acute and subacute hepatic failure

Info

Purpose: To determine if a person with paracetamol-induced liver failure should undergo liver transplantation using the modified King's College Hospital criteria.

Specialty: Gastroenterology, Surgery, general

Objective: laboratory tests, other testing, severity, prognosis, stage, selection

ICD-10: T39.1, K72.0,

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