Liver Biopsy Hep C Clinical Risk Factors | Medical Algorithm

Are you evaluating a patient with chronic viral hepatitis C?

Yes

Age

years

Does the patient have?

• a history of decompensated liver disease?

Yes

• splenomegaly?

Yes

• hepatomegaly?

Yes

• spider nevi?

Yes

White blood cell count

Platelet count

INR

Serum ALT

Upper limit of normal reference range for ALT

Serum albumin

Serum ferritin

Serum total bilirubin

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Risk factors for significant inflammation

Number of predictors for significant inflammation

The risk of significant inflammation is

Risk factors for significant fibrosis

Number of predictors for significant fibrosis

The risk of significant fibrosis is

Number of risk factors for cirrhosis

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
- Criteria of Schoeniger-Hekele and Mueller for Using CA19-9 and CA125 to Diagnose Severe Liver Fibrosis in a Pateint with Noncholestatic Liver Disease

Therapy

Selection

Monitoring

Disease Progression

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Risk Factors for Predicting Histologic Findings in Liver Biopsy from Chronic Viral Hepatitis C (HCV) Patient

Purpose: To evaluate a patient with chronic viral hepatitis C (HCV) for risk of significant histologic findings based on the study of Romagnuolo et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10