Maag-Darm-Leverziekten

Gradering hepatische encefalopathie volgens West Haven criteria:

Graad 0: Geen verwardheid.
Graad 1: Geringe verwardheid, euforie of depressie, concentratiestoornissen, prikkelbaarheid, gestoord dag-nacht ritme.
Graad 2: Sufheid, lethargie, inadequaat gedrag, persoonlijkheidsveranderingen, wisselend gedesoriënteerd in tijd en plaats.
Graad 3: Somnolentie maar responsief op aanspreken. Verward. Onbekwaamheid in het uitvoeren van opdrachten, gedesoriënteerd in tijd en plaats, amnesie, spraakstoornis.
Graad 4: Coma.

Referenties:
Hepatische encefalopathie: FMS: richtlijn Acuut leverfalen
Child-Pugh: UpToDate: Cirrhosis in adults: Overview of complications, general management, and prognosis
MELD: doi:10.1053/gast.2003.50016
Glasgow-Imrie criteria: Acute Boekje – Acute pancreatitis
Blatchford score: NVMDL – richtlijn Bloedingen van de tractus digestivus 2017 en doi:10.1016/S0140-6736(00)02816-6
SAAG: UpToDate: Evaluation of adults with ascites

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