Full 2L QBank
Surgery NEET 2019 0f6a186a

All of the following are true in case of chronic liver disease except:-

A
MELD score is used frequently to see whom needs liver transplant early
B
MELD score includes serum albumin, creatinine, and INR
C
Child Pugh score includes PT-INR, albumin and bilirubin
D
Child Pugh score has class A,B,C
High-Yield Explanation
MELD Score: - Model for End Stage Liver Disease. - Used for organ allocation in liver transplant recipients - Components: Serum creatine Serum Bilirubin INR Child Turcot Pugh classification: Child-Turcotte-Pugh (CTP) Score Variable 1 Point 2 Points 3 Points Serum albumin (g/dL) >3.5 2.8-3.5Q <2.8 Bilirubin (mg/dL) <2 2-3Q >3 Prothrombin time (sec above normal) or INR <4<1.7 4-6Q 1.7-2.3Q >6>2.3 Ascites None ControlledQ Uncontrolled Encephalopathy None ControlledQ Uncontrolled Class A 5-6 pointsQ Class B 7-9 pointsQ Class C 10-15 pointsQ Major surgeries can be done only in Class AQ. Only minor surgical procedures can be performed in Class BQ. No surgical intervention should be done in Class C (Best treatment is liver transplantation)Q.

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