Liver Disease

Liver Disease

1 and 2 must be present:

1. The patient should exhibit both of the following:

a. Prothrombin time prolonged more than 5 seconds over control or International Normalized Ratio (INR) ≥ 1.5
b. Serum albumin ≤ 2.5 gm/dl

2 End-stage liver disease is present and the patient shows at least one of the following:

a. Ascites, refractory to treatment or patient non-compliant
b. Spontaneous bacterial peritonitis
c. Hepatorenal syndrome (elevated
creatinine and BUN with oliguria (< 400ml/day) and urine sodium concentration <10mEq/l)
d. Hepatic encephalopathy, refractory to treatment or patient non-compliant
e. Recurrent variceal bleeding despite intensive therapy

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