Paediatric Hepatology Dependency (PHD) Score of Cowley et al

Purpose: To evaluate a pediatric patient with liver disease using the Paediatric Hepatology Dependency (PHD) score of Cowley et al.

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Evaluation

Are you evaluating a pediatric patient with liver disease?

Yes

Serum albumin

Total serum bilirubin

Serum AST

INR

Number of blood products transfused during the past 7 days

Number of non-liver organ failures (cardiac, respiratory, renal, CNS)

Select an appropriate answer for each finding

Ascites

Nutritional support

Sepsis

IV access

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

Does the patient have evidence of severe disease?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Contraindications to Liver Transplantation
Other Testing
Criteria For Diagnosis
- Indications for Liver Transplantation
Severity, Prognosis, Stage

Therapy

Options
- Contraindications to Liver Transplantation
Selection

Monitoring

Response To Therapy
- Score for Liver Donor (SOLD) of Ioannou

Patient Concerns

Economics
- Contraindications to Liver Transplantation

Specialty

Gastroenterology

Objective

clinical diagnosis
including family history for genetics
criteria for diagnosis
severity
prognosis
stage

ICD-10

K72 - Hepatic failure, not elsewhere classified

Info

Purpose: To evaluate a pediatric patient with liver disease using the Paediatric Hepatology Dependency (PHD) score of Cowley et al.

Specialty: Gastroenterology

Objective: clinical diagnosis, including family history for genetics, criteria for diagnosis, severity, prognosis, stage

ICD-10: K72,

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