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Liver Calculator

Calculates both the MELD and discriminant function based on the below values.

Hemodialysis or CVVH

Creatinine

Bilirubin

INR

Prothrombin Time (sec)

Control Time (sec)

Press Here:

Press button for MELD and DF scores.

Discriminant Function = 4.6 * (Prothrombin Time (seconds) - Control Time (seconds)) + Serum Bilirubin (mg/dL) (1)

A discriminant function > 32 indicates severe alcoholic hepatitis.

A clinician's judgement can not be replaced by a computer's analysis.

Ask your local lab about control time and prothrombin time. Usually, it's 13-14.
Lille Model - analyzes effectiveness to corticosteroid therapy after seven days.
Meld Model - >21 indicates severe alcoholic hepatitis.
Prothrombin Time

The MELD score determines the severity of liver disease. It is used for organ allocation for liver transplantation. Laboratory values less than 1.0 are set to 1.0, and the maximum creatinine is set to 4. If the patient has had CVVHD or dialysis twice in the last week, check the box to set the creatinine to 4.

UNOS MELD Documentation

Mayo Meld Score

Wikipedia MELD

FeNa Calculator

Maddrey's Discriminant Function

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About the site and its author: Joseph K. Sunny, Jr. MD. Most of the pages are created from my reading or clinical experience.

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