Question

Which of the following criteria is used to assess the prognosis of the liver condition as represented in the picture below?

• A. Child pugh score
• B. Milan score
• C. Meld score
• D. Alvarado score

Answer 1

The Correct Option is A

The correct criterion used to assess the prognosis of the liver condition is the Child-Pugh score. This scoring system is primarily used to evaluate the prognosis of chronic liver disease, particularly cirrhosis. It helps in predicting the outcome, guiding treatment decisions, and assessing the severity of liver dysfunction. The score consists of five clinical measures: 

• Ascites - Evaluates the presence and amount of abdominal fluid.
• Bilirubin - Measures the level of bilirubin in the blood, indicating liver function.
• Albumin - Checks the level of albumin, a protein made by the liver, in the blood.
• Prothrombin time/International Normalized Ratio (INR) - Assesses blood clotting.
• Encephalopathy - Examines the degree of hepatic encephalopathy, a decline in brain function due to severe liver disease.

Measure	1 Point	2 Points	3 Points
Ascites	None	Mild	Moderate to Severe
Bilirubin (mg/dL)	<2	2-3	>3
Albumin (g/dL)	>3.5	2.8-3.5	<2.8
INR	<1.7	1.7-2.2	>2.2
Encephalopathy	None	Mild to Moderate	Severe

The total score determines the Child-Pugh class: A (5-6 points), B (7-9 points), or C (10-15 points), with Class A indicating the best prognosis and Class C the poorest.