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Paediatric

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Gastro Intestinal System

Question
56 out of 56
 

In a child with active liver failure, the most important prognosis factor for death is (AIIMS Nov 2012)



A Increasing transaminases

B Increasing bilirubin

C Increasing prothrombin time

D Gram -ve sepsis

Ans. D

Gram (-)ve sepsis

Prognosis of hepatic failure in children

a. Children with hepatic failure have somewhat better prognosis.

b. The prognosis varies considerably with -

i. Cause of liver failure

ii. Stage of hepatic encephalopathy

c. Poor prognostic factors for mortality

i. If cause of liver failure is -+ Wilson disease, idiopathic

ii. Stage IV coma - Most common cause of death is brain stem hemiation

iii. Age< l year

iv. Sepsis

v. Severe hemorrhage

vi. Renal failure

vii. Need for dialysis before transplantation

For option b & c

"Pretransplant serum bilirubin concentration and the INR (prothrombin time) of coagulation are not predictive

Gastro Intestinal System Flashcard List

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