Gastrointestinal Bleeding Cirrhosis Prognosis Index Medical Algorithm

Has the patient had an episode of upper GI hemorrhage secondary to hepatic cirrhosis?

Yes

Gender of the patient

Male

Female

Serum creatinine

Serum total bilirubin

Prothrombin index (enter from 0 to 100)

percent

Is ascites present?

Yes

Is hepatocellular carcinoma present?

Yes

Is the patient bleeding from esophageal varices?

Yes

Did the patient present with hematemesis?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Prognostic index

Probability of survival at 40 days

Probability of death by 40 days

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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

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10

Gastrointestinal Bleeding Cirrhosis Prognostic Index

Purpose: To identify short term mortality in a patient with hepatic cirrhosis who has an episode of upper gastrointestinal bleeding.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10