As per Child-Turcotte-Pugh (CTP) classification, he was in:
To determine the classification of liver function impairment using the Child-Turcotte-Pugh (CTP) classification, it is important to assess specific clinical and laboratory parameters. The CTP score helps to evaluate the prognosis of chronic liver disease, mainly cirrhosis. The parameters used include:
- Serum bilirubin
- Serum albumin
- International Normalized Ratio (INR)
- Ascites
- Hepatic encephalopathy
According to the CTP classification, each category is scored from 1 to 3, with higher scores indicating more severe disease. The scores are then summed to categorize liver function into class A, B, or C. Here's how the scoring works:
| Parameter | 1 Point | 2 Points | 3 Points |
|---|---|---|---|
| Serum Bilirubin (mg%) | <2 | 2-3 | >3 |
| Serum Albumin (gm%) | >3.5 | 2.8-3.5 | <2.8 |
| INR | <1.7 | 1.7-2.3 | >2.3 |
| Ascites | None | Mild | Moderate to Severe |
| Encephalopathy | None | Grade 1-2 | Grade 3-4 |
Given the patient's data:
- Serum Bilirubin: 5 mg% → Score: 3
- Serum Albumin: 3.9 gm% → Score: 1
- INR: 1.6 → Score: 1
- Ascites: None → Score: 1
- Encephalopathy: None → Score: 1
The total score is \(3 + 1 + 1 + 1 + 1 = 7\).
The CTP classification is as follows:
- CTP-A: 5-6 points
- CTP-B: 7-9 points
- CTP-C: 10-15 points
Therefore, with a total score of 7, the patient's liver disease is categorized as CTP-B.
The correct answer is: CTP-B.
Important Questions from Liver Diseases
Which of the following are precipitating factors for hepatic encephalopathy ?
1. Hypokalemia
2. Septicemia
3. Increased dietary protein load
Select the correct answer using the code given below:
- Which one of the following statements is correct regarding Upper Gastro Intestinal Bleeding (UGIB)?
- Crigler-Najjar syndrome Type-I is inherited as an:
- Poorly absorbed antibiotics are often used as adjunctive therapies in patients with hepatic encephalopathy. These may include :
When the serum ascites to albumin gradient (SAAG) is less than 1.1 gm/dL, then which of the following causes of ascites may be considered?
1. Infection
2. Malignancy
3. Cardiac ascites
4. Portal hypertension
Select the correct answer using the code given below:
