Which of the following parameters is included in the Child-Turcotte-Pugh classification of cirrhosis?
- A Serum creatinine
- B Serum albumin ✓
- C Serum sodium
- D Patient age
Explanation
The Child-Turcotte-Pugh score comprises five variables scored 1 to 3 each: bilirubin, albumin, prothrombin time or INR, ascites, and encephalopathy. Serum creatinine and serum sodium are components of the MELD score, not Child-Pugh, and age is not part of either score. This distinction is frequently tested because MELD replaced Child-Pugh for transplant allocation precisely to incorporate objective laboratory values such as creatinine.
Reference: Harrison's Principles of Internal Medicine, 21st ed.
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