2
I. Diagnosis
1. Definitive diagnosis:… ……………………………………………………. 2. Diagnosis of the cause: …………………………....……………..………
II. Clinical and paraclinical symptoms
CLINICAL SYMPTOMS
Whole body | Glasgow Perception: (points) | Heaviest | Discharged from hospital |
Pulse (beats/minute) | |||
Breathing rate (times/minute) | |||
Blood pressure (mmHg) | |||
Temperature (degrees C) | |||
1. Yes | 2. No | ||
Subcutaneous hemorrhage | |||
Pale mucous membranes |
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Mucosal jaundice | |||
Ascites | |||
Phew | |||
Peripheral lymph nodes | |||
Enlarged thyroid | |||
Nerve | Clinical grading of hepatic encephalopathy | Degree 0 Level 1 Level 2 Level 3 Level 4 | |
Digestion | 1. Yes | 2. No | |
Anorexia | |||
Diarrhea or constipation | |||
Nausea and vomiting | |||
Vomiting blood | |||
Bloody stools (black/red) | |||
Right hypochondriac pain | |||
Respiratory and cardiovascular | Chest pain | ||
Shortness of breath | |||
Oxygen breathing | |||
Ventilator support | |||
Abnormal rales | |||||
Pleural effusion | |||||
Arrhythmia | |||||
Abnormal heart sounds | |||||
Kidney | Urine volume | RIFLE: | |||
R | I | ||||
F | L | ||||
PARACLINICAL RESULTS OF THE PATIENT | |||||
Test name | Test results by stage | ||||
The heaviest moment | Time of discharge | ||||
Arterial blood gas | |||||
PH | |||||
Lactate | mmol/L | ||||
Pa O2 | mm Hg | ||||
PaCO2 | mm Hg | ||||
HCO3 | |||||
BEIGE | |||||
Electrolyte chart | |||||
Na+ | mmol/L | ||||
mmol/L | |||
Cl- | mmol/L | ||
Blood formula | |||
HC salary | T/L | ||
Hemoglobin | g/L | ||
Hematocrit | L/L | ||
Platelet count | G/L | ||
Platelet count | G/L | ||
Number of BCTT | G/L | ||
Lymphocyte count | G/L | ||
Hemostasis | |||
PTs | second | ||
PTb/c | % | ||
INR | |||
Fibrinogen | g/l | ||
APTTs | second | ||
APTT (b/c) | |||
D-dimer | mg/L | ||
Blood chemistry | |||
NH3 | µmol/L | ||
Urea | mmol/L | ||
K+
µmol/L | |||
Blood glucose | mmol/L | ||
Bilirubin City | µmol/L | ||
total bilirubin | µmol/L | ||
LDH | U/L | ||
ALP | U/L | ||
AST | U/L | ||
ALT | U/L | ||
CK | U/L | ||
GGT | U/L | ||
Blood albumin | mmol/L | ||
Procalcitonin | ng/mL | ||
CRP | mg/L |
Creatinine
III. Treatment
1. Treatment method:
Method
Have | Are not | ||
Continuous venovenous hemofiltration (CVVH) | |||
Continuous venovenous dialysis – ultrafiltration (CVVHDF) | |||
Plasma exchange (PEX) | 1. Routine | ||
2. High volume | |||
Anti-cerebral edema | |||
Ventilator | |||
Continuous venovenous hemofiltration (CVVH) | ||||
CVVH filter | ||||
Anticoagulants | ||||
Filtrate volume | ||||
Filter time | ||||
Plasma exchange (PEX): 1. Routine, 2. Aggressive, 3. High volume | ||||
PEX times | ||||
PEX Type | ||||
Anticoagulants | ||||
Plasma volume replaced in one PEX session | ||||
PEX Time | ||||
Use high dose corticosteroids
2. Treatment results
Relief, remission (clinical symptoms improved, INR test, prothrombin ratio, total bilirubin, ALT recovered)
Death (patient dies in hospital or asks to go home)





