What causes portal hypertension in a Child?
Prehepatic blockages are the most common cause of portal hypertension in children. They stem from blood clots or narrowing of the portal vein before it reaches the liver. In response, the body grows varices that bypass the blockage.
What is Child’s classification?
In Western countries, the Child-Pugh (CP) classification is the standard to assess preoperative liver function and is determined by five factors: serum bilirubin and albumin levels, prothrombin time, ascites, and encephalopathy (Table 103D. 1) (Child, 1964; Pugh et al, 1973).
What causes hepatic portal hypertension?
The most common cause of portal hypertension is cirrhosis, or scarring of the liver. Cirrhosis results from the healing of a liver injury caused by hepatitis, alcohol abuse or other causes of liver damage.
What is the most common manifestation of portal hypertension induced splenomegaly?
Splenomegaly or enlargement of the spleen. Because of portal hypertension, blood backs up, and this also can trap the components of blood (red blood cells, white blood cells, and platelets) within the spleen causing anemia and thrombocytopenia (low platelet count in the bloodstream).
What is Child-Pugh B or C?
A total Child-Turcotte-Pugh score of 5 to 6 is considered Child-Pugh class A (well-compensated disease), 7 to 9 is class B (significant functional compromise), and 10 to 15 is class C (decompensated disease).
How do you measure a Child’s Pugh score?
How’s the Pugh-Child score determined? The Pugh-Child score is determined by scoring five clinical measures of liver disease. A score of 1, 2, or 3 is given to each measure, with 3 being the most severe.
What are the signs of portal hypertension?
What are the symptoms of portal hypertension?
- Enlarged liver and spleen.
- Enlarged veins (varices) of the esophagus and stomach.
- Internal hemorrhoids.
- Weight loss from malnutrition.
- Fluid buildup in the belly (ascites)
- Kidney malfunction.
- Low platelets.
- Fluid on the lungs.