Fulminant Hepatic Failure | Serum ALT to LDH Index for Evaluating Risk

Purpose: To evaluate a patient admitted to the hospital with severe acute hepatitis using the ALT to LDH index of Kotoh et al.

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Evaluation

Are you evaluating a patient who has been admitted to the hospital with severe acute hepatitis?

Yes

Serum ALT in IU/L on admission

Serum LDH in IU/L on admission

Serum ALT in IU/L on day 3

Serum LDH in IU/L on day 3

Lower end of the normal reference range for LDH

Upper end of the normal reference range for LDH

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Mean value for the LDH normal reference range

ALT to LDH index on admission

ALT to LDH index on day 3

Index on day 3 as a multiple of the index on admission

Does the index on day 3 favor conservative management?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Fulminant Hepatitis B | Prognostic Factors
- Risk Factors for Mortality in Patient with Paracetamol-Induced Fulminant Hepatic Failure
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Prognostic Formula for Patient with Acute Liver Failure
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Differential Diagnosis And Mimics, Red Flags

Therapy

Selection

Specialty

Gastroenterology

Objective

laboratory tests
severity
prognosis
stage
selection

ICD-10

K72.0 - Acute and subacute hepatic failure

Info

Purpose: To evaluate a patient admitted to the hospital with severe acute hepatitis using the ALT to LDH index of Kotoh et al.

Specialty: Gastroenterology

Objective: laboratory tests, severity, prognosis, stage, selection

ICD-10: K72.0,

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