87 Liver Disease
The patient has end-stage liver disease demonstrated by:
- Prothrombin time >5 sec – OR – INR > 1.5 – AND – serum albumin < 2.5 gm/dl
AND:
One or more of the following:
- Refractory ascites
- History of SBP
- Hepatorenal syndrome
- Refractory hepatic encephalopathy
- History of recurrent variceal bleeding
Additional supporting documentation:
- Progressive malnutrition
- Muscle wasting with reduced strength and endurance
- Continued active alcoholism (>80 gm alcohol/day)
- Hepatocellular carcinoma
- Hepatitis B positivity
