Prognostic Index of Christensen et al for Patients with Cirrhosis After the First Episode of Gastrointestinal Bleeding or Coma

Purpose: To evaluate the prognosis for a patient with cirrhosis who has had a first episode of GI bleeding or coma.

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Evaluation

Are you evaluating a patient with cirrhosis who presents with a first episode of GI bleeding or coma?

Yes

Serum creatinine

Patient's prothrombin time

seconds

Prothrombin time for normal control plasma

seconds

Select an appropriate answer for each finding

Type of first episode event

Ascites

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Prothrombin index

Prognostic index (PI)

Estimated probability of 2 year survival

Estimated probability of 5 year survival

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
- Discriminant Function Distinguishing Cirrhosis from Chronic Hepatitis
Criteria For Diagnosis
- Child-Pugh Score for Grading Hepatic Cirrhosis
- MELD-XI Score for Evaluating a Cirrhotic Patient Being Treated with Oral Anticoagulants
Severity, Prognosis, Stage
Complications

Monitoring

Disease Progression
- Discriminant Function Distinguishing Cirrhosis from Chronic Hepatitis
Comorbid Conditions
- Collateral Vessels in Portal Hypertension

Specialty

Gastroenterology

Objective

severity
prognosis
stage
complications

ICD-10

K74 - Fibrosis and cirrhosis of liver

Info

Purpose: To evaluate the prognosis for a patient with cirrhosis who has had a first episode of GI bleeding or coma.

Specialty: Gastroenterology

Objective: severity, prognosis, stage, complications

ICD-10: K74,

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