Liver Disease & Cirrhosis
Also: cirrhosis · chronic liver disease · hepatic failure
Chronic liver disease and cirrhosis carry risks of decompensation — variceal bleeding, ascites, encephalopathy — and require prognostic scoring for management and transplant decisions.
The severity and bleeding scores, the relevant drugs, and pathways are gathered here.
Calculators & scores
- Child-Pugh ScoreLiver Disease
- West Haven Criteria for Hepatic EncephalopathyHepatology
- Mumtaz Score for 30-Day Readmission in CirrhosisLiver Disease
- West Haven Criteria for Hepatic Encephalopathy StagingLiver Disease
- MELD-Na Score for Liver CirrhosisHepatology
- Child-Pugh Score (Hepatic Reserve)Liver Disease
- MELD ScoreLiver Disease
- MELD-Na ScoreLiver Disease
- MELD 3.0 ScorePrognosis
- EVendo Score for Oesophageal VaricesHepatology
- West Haven Criteria (Hepatic Encephalopathy Grade)Hepatic Encephalopathy
- Maddrey Discriminant Function (Alcoholic Hepatitis)Alcoholic Liver Disease
- Maddrey's Discriminant Function for Alcoholic HepatitisHepatology
- AST to Platelet Ratio Index (APRI)Hepatology
Decision pathways
- Decompensated CirrhosisBSG 2015 / EASL 2018
- Hepatic EncephalopathyEASL 2014; West Haven criteria
- Upper GI BleedingBSG Guidelines 2019; NICE NG141
- Hepatorenal SyndromeEASL 2018; ICA 2015
- Lower Gastrointestinal BleedBSG 2019; NICE NG141
- Acute Liver FailureEASL 2017 / BSG
- IBD Acute Flare AssessmentECCO / BSG 2019
- Hepatitis B ManagementEASL 2017 / NICE NG33
Drugs
- Spironolactone with furosemideK-sparing + loop diuretic combination
- Furosemide (IV — ICU)Loop Diuretic
- TerlipressinVasopressin Analogue (V1 Receptor Agonist)
- FurosemideDiuretic
- SpironolactoneDiuretic
- CarvedilolBeta-Blocker / HFrEF
- Furosemide with triamtereneLoop diuretic + potassium-sparing
- Propranolol hydrochlorideNon-selective β-blocker
- Vasopressin / TerlipressinVasopressin Analogue — Vasodilatory Shock / Variceal Bleeding
- PropranololBeta-Blocker — Infantile Haemangioma (Airway)
- Furosemide (Frusemide)Loop diuretic
- LactuloseOsmotic laxative / Ammonia reduction (hepatic encephalopathy)
Decision support only. These tools are aggregated by topic to aid navigation — always apply clinical judgement and the relevant national or local guideline.