It's historic :) Wanted to include as a fun fact. The surgeon and portal hypertension expert Charles Gardner Child (1908-1991) (with Turcotte) of the University of Michigan first proposed the scoring system in 1964 in a textbook on liver disease. It was modified by Pugh et al. in 1972 in a report on surgical treatment of bleeding from esophageal varices. They replaced Child's criterion of nutritional status with the prothrombin time or INR, and assigned scores of 1-3 to each variable. Source: en.m.wikipedia.org/wiki/Child%E2%80%93Pugh_score#History Child and Turcotte, two surgeons who performed portocaval shunt surgery, classified patients with cirrhosis in three “functional hepatic reserve” categories: A, B, and C, corresponding to minimally, moderately and severely altered hepatic functional reserve, respectively. This classification was based on 5 variables, three clinical (ascites, encephalopathy and nutritional status) and two biochemical (serum albumin and bilirubin). The Child-Turcotte classification was modified by Pugh et al in 1973 by substituting the normalized ratio (INR) for nutritional status, and by arbitrarily adjusting limits for serum albumin and better defining the encephalopathy grading system. Source: www.ncbi.nlm.nih.gov/pmc/articles/PMC5218597/
It's historic :) Wanted to include as a fun fact. The surgeon and portal hypertension expert Charles Gardner Child (1908-1991) (with Turcotte) of the University of Michigan first proposed the scoring system in 1964 in a textbook on liver disease. It was modified by Pugh et al. in 1972 in a report on surgical treatment of bleeding from esophageal varices. They replaced Child's criterion of nutritional status with the prothrombin time or INR, and assigned scores of 1-3 to each variable. Source: en.m.wikipedia.org/wiki/Child%E2%80%93Pugh_score#History Child and Turcotte, two surgeons who performed portocaval shunt surgery, classified patients with cirrhosis in three “functional hepatic reserve” categories: A, B, and C, corresponding to minimally, moderately and severely altered hepatic functional reserve, respectively. This classification was based on 5 variables, three clinical (ascites, encephalopathy and nutritional status) and two biochemical (serum albumin and bilirubin). The Child-Turcotte classification was modified by Pugh et al in 1973 by substituting the normalized ratio (INR) for nutritional status, and by arbitrarily adjusting limits for serum albumin and better defining the encephalopathy grading system. Source: www.ncbi.nlm.nih.gov/pmc/articles/PMC5218597/
I use albumin billirubin coagulation distention encephalopathy... abcde
they don't have the "Classical" six pack abs... :D
Nice mnemonic, thanks a bunch!! :)
+Raphael Medicine Haha can't believe I said that ^__^"
Glad it helped you. You're most welcome :D
Extremely cool, comprehensive and easy to remember. Thanks
Easy
Bilirrubin
Albumin
proTrombin
Mental status
Ascitis
Nutrition
BATMAN :D
Haha I am the hero this city needs but not the one it deserves :D
very informative....keep on uploading
That was super supeeerrr helpful thank you so much 👌🏽👌🏽👌🏽👌🏽👌🏽🙏🏽🙏🏽🙏🏽🙏🏽
This is great! Easy to remember for me. :)
Thanks!
+Jeff Hsieh You're most welcome, Jeff!
you are a lifesaver
Very nice method to remember, thanks
Good explanation. Definitely worth a thumbs up.
Much appreciated!
That was really helpful.. I like how you link stuff 😉
Dana Ghazaleh Glad it helped! I like how you like it :)
This is awesome!
Thanks!
Great explanation!
Renku07 Thanks!
Thank you so much it was helpful ❤️
Very very nice.....a big thanks to you.:)
mohammad saquib A big you're most welcome to ya :D
Great video. Thanks 😀
Thanks for watching!
amazing thanks
its wonderfulll it also works in diferent languages as portuguese i told all my friends in brasil about this nemotecnique
Thank you
This actually helped me !
Very nice..👍👍👍
Tanks that take me different concept
nutrition is not included in the original score system.. if we used your method, it will equal to 18 not 15 !!
yes..
It's historic :) Wanted to include as a fun fact.
The surgeon and portal hypertension expert Charles Gardner Child (1908-1991) (with Turcotte) of the University of Michigan first proposed the scoring system in 1964 in a textbook on liver disease. It was modified by Pugh et al. in 1972 in a report on surgical treatment of bleeding from esophageal varices. They replaced Child's criterion of nutritional status with the prothrombin time or INR, and assigned scores of 1-3 to each variable.
Source: en.m.wikipedia.org/wiki/Child%E2%80%93Pugh_score#History
Child and Turcotte, two surgeons who performed portocaval shunt surgery, classified patients with cirrhosis in three “functional hepatic reserve” categories: A, B, and C, corresponding to minimally, moderately and severely altered hepatic functional reserve, respectively. This classification was based on 5 variables, three clinical (ascites, encephalopathy and nutritional status) and two biochemical (serum albumin and bilirubin). The Child-Turcotte classification was modified by Pugh et al in 1973 by substituting the normalized ratio (INR) for nutritional status, and by arbitrarily adjusting limits for serum albumin and better defining the encephalopathy grading system.
Source: www.ncbi.nlm.nih.gov/pmc/articles/PMC5218597/
AWESOME!
Thaaank you!
جزاك الله خيرا
Omar Ehab وإياكم
thank you
Thanks ❤
Thanks a lot mam
medicowesome u r awesome:-) thanks
+Sahar Hayat Haha.. So are you! Thank you :)
Thanks a lot :-)
hope forever Yaay! Glad it helped
Explanation was good but Nutrition is not there. (How did you come up with that?). Thanks though
It's historic :) Wanted to include as a fun fact.
The surgeon and portal hypertension expert Charles Gardner Child (1908-1991) (with Turcotte) of the University of Michigan first proposed the scoring system in 1964 in a textbook on liver disease. It was modified by Pugh et al. in 1972 in a report on surgical treatment of bleeding from esophageal varices. They replaced Child's criterion of nutritional status with the prothrombin time or INR, and assigned scores of 1-3 to each variable.
Source: en.m.wikipedia.org/wiki/Child%E2%80%93Pugh_score#History
Child and Turcotte, two surgeons who performed portocaval shunt surgery, classified patients with cirrhosis in three “functional hepatic reserve” categories: A, B, and C, corresponding to minimally, moderately and severely altered hepatic functional reserve, respectively. This classification was based on 5 variables, three clinical (ascites, encephalopathy and nutritional status) and two biochemical (serum albumin and bilirubin). The Child-Turcotte classification was modified by Pugh et al in 1973 by substituting the normalized ratio (INR) for nutritional status, and by arbitrarily adjusting limits for serum albumin and better defining the encephalopathy grading system.
Source: www.ncbi.nlm.nih.gov/pmc/articles/PMC5218597/
So thankful
thanks
+Akshayreddy K You're welcome!
thanksss a lot
You're most welcome
Lovely
Is nutrition inculed ? In baliey its not written
YOU ARE AWSOME
THANK YOU
Good ... but you didnt give us the prognosis in every Class ?
Beyond scope of this video :)
To determine Child-Pugh Score Check our Medical Calculator www.pediatriconcall.com/calculators/child-pugh-score-calculator
helps alot
+MEDICAL STUDENTS EGERTON UNIVERSITY Glad it does!
I copied the scheme..thanks :)
Andrea Padula which scheme?
Nice video... but these inherently mug up stuff is what makes medical learning so difficult for me.
You can!
Not a good mnemonic ..you made it more complex to remeber
Oh nooo! :(
Thank you