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QUACK is back! Our team has grown and we are delighted to now deliver medical education regionally across the West of Scotland.

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This week's topic is decompensated liver disease

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For a certifiacte of learning for QUACK of the week, please fill in the feedback here

Presentation & Guideline

Decompensated Cirrhosis

Dr Priest

Gastroenterology Consultant

BSG - BASL

Decompensated cirrhosis care bundle

(first 24 hours)

BSG

Management of abnormal LFTs

Scoring System

Child-Pugh Score for Cirrhosis Mortality

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  • Bilirubin

    • <34 (+1)

    • 34-51 (+2)

    • >51 (+3)

  • Albumin

    • >35 (+1)

    • 28-35 (+2)

    • <28 (+3)

  • INR

    • <1.7 (+1)

    • 1.7-2.2 (+2)

    • >2.2 (+3)

  • Ascites

    • Absent (+1)

    • 28-Slight (+2)

    • Moderate (+3)

  • Enecphalopathy

    • Nil (+1)

    • Grade 1-2 (+2)
    • Grade 3-4 (+3)

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Total points

  • Class A = 5-6

  • Class B = 7-9

  • Class C = 10-15

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1 year survival;

  • Child-Pugh Class A = 100%

  • Child-Pugh Class C = 45%

For an example of what your e-certicate will look like, see below

E Certificate template Asthma.png

*Disclaimer*

QUACK is an unofficial regional teaching programme running in the West of Scotland, it is not endorsed by any NHS health board

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The responsibility of the content on this site lies with the author

 

Remember to check your local clinical guidelines

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Many thanks to Dr J Yau for designing the QUACK logo

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