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Pugh score???
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Pugh score???

Could anyone out there explain to us what this means?
   "Calculation of his Pugh score reveals it to be only 6, compatible with Child's A liver disease". Any information I have found does not explain if this is good, bad or????? Also, what is micronodular cirrhosis? Any light shed on these questions would be greatly appreciated. Thanks in advance.
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The Childs-Turcotte-Pugh (CTP) classification is used to establish minimal listing criteria in the UNOS allocation algorithm. The CTP classification (Table 2) reflects the severity (mild, moderate, or severe) of cirrhosis. A point score is calculated by assigning 1 to 3 points for each of 5 parameters. Scores are summed to determine Childs class A, B, or C: Childs class A indicates < 7 points, Childs class B indicates 7-10 points, and Childs class C indicates > 10 points. Under this allocation system, a patient had to be classified as at least Childs class B in order to be listed for transplantation.

This is from site :  http://www.medscape.com/viewarticle/451209_6
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28293_tn?1213140550
Mike (above) is right. I just wanted to add a comment (in laymen's terms)---

Cirrhosis has 3 stages
Stage A
Stage B
Stage C

Doctors use the Child Turcotte Pugh Score to figure out which Stage of Cirrhosis that a person is in.

The CTP Score is based on 5 questions.
You receive a point value for each of your answers to those 5 questions.
Then you total your score.

A total score of 5 to 6 points = Stage A Cirrhosis
A total score of 7 to 9 points = Stage B Cirrhosis
A total score of 10 to 15 points = Stage C Cirrhosis

A person must have a score of 7 points or more, in order to be referred for an Evaluation at a liver transplant center.
(In other words----------A person must be Stage B or Stage C, in order to get referred for an Evaluation)



If your husband's CTP score is 6, that means he only has STAGE A Cirrhosis.
(Not quite sick enough yet to be referred for an evaluation)
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