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Skip to mainAcute liver failure | Non-Paracetamol (Viral, drug, induced, Wilson’s, Autoimmune hepatitis etc.) | Prothrombin time >100 sec or 3 of 5: Interval jaundice-encephalopathy > 7 days Age < 10 or > 40 Years Prothrombin time > 50 sec. / INR > 3.5 Bilirubin > 30 umol/1 Cause non-viral or unknown. |
Paracetamol induced | Arterial Ph <7.30 or all 3 criteria Encephalopathy grade III or IV Prothrombin time >100 sec./INR > 6.5 Creatinine >300 umol/I | |
Chronic Liver disease | Cirrhosis (Non- Cholestatic) | Child-Pugh score >or equal 10 or Meld Score > 14 |
Cholestatic with or without Cirrhosis | According to American criteria based on MELD scoring | |
Miscellaneous | case to case basis | |
Liver Tumors | Hepatocellular Carcinoma | Single Tumor <6.5 cm or Two Tumors < or equal 4.5 cm No Vascular invasion No distant Metastasis |
Other types | Case to case basis |
Absolute | Systemic extra hepatic infections Extra hepatic malignancy (if not definitely cured) Irreversible brain damage Irreversible multi-organ failure Substance abusc ( if not abstinent for > 6 months) |
Relative | HIV seropositivity Age > 65 years Mental incapacity Extra hepatic disease limiting the chance of survival Residency outside India (unless emergency) |
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