Calc Function

  • Diagnosis
  • Rule Out
  • Prognosis
  • Formula
  • Treatment
  • Algorithm
  • Disease
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    Liver Disease and Pregnancy

    Official guideline from the American College of Gastroenterology.

    summary by Russell Rosenblatt, MD Robert S. Brown, MD

    Diagnosis and Workup

    Initial Evaluation

    Strong recommendation
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    Very low quality evidence

    Imaging

    Strong recommendation
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    Low quality evidence

    Conditional recommendation
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    Low quality evidence

    Conditional recommendation
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    Very low quality evidence

    Endoscopy

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Moderate quality evidence

    Biliary Disease, Liver Mass, CLD

    Biliary Disease

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Low quality evidence

    Liver Masses

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Low quality evidence

    Other Chronic Liver Disease

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Low quality evidence

    Conditional recommendation
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    Very low quality evidence

    Strong recommendation
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    Moderate quality evidence

    Infectious

    Hepatitis B

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Very low quality evidence

    Hepatitis C

    Strong recommendation
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    Low quality evidence

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Very low quality evidence

    Hepatitis A and E, HSV

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Very low quality evidence

    Pregnancy-specific

    Hyperemesis Gravidarum

    Strong recommendation
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    Very low quality evidence

    Intrahepatic Cholestasis of Pregnancy

    Strong recommendation
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    Very low quality evidence

    Strong recommendation
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    Moderate quality evidence

    Preeclampsia, Eclampsia

    Strong recommendation
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    Very low quality evidence

    HELLP Syndrome

    Strong recommendation
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    Very low quality evidence

    Conditional recommendation
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    Very low quality evidence

    Acute Fatty Liver Disease of Pregnancy

    Strong recommendation
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    Very low quality evidence

    Conditional recommendation
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    Moderate quality evidence

    Conditional recommendation
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    Very low quality evidence

    How strong is the ACG's recommendation?

    Strong recommendation
    Intervention's desirable effects clearly outweigh undesirable effects.
    Moderate recommendation
    Further research likely to impact confidence in estimate of effect.
    Conditional recommendation
    Uncertainty in tradeoffs between desirable & undesirable effects of intervention.
    Uncertainty in tradeoffs between desirable & undesirable effects of intervention.
    High quality evidence
    Further research unlikely to change guideline authors' confidence in estimate of effect.
    Between high and moderate levels of evidence.
    Moderate quality evidence
    Further research likely to impact confidence in estimate of effect.
    Low quality evidence
    Further research expected to have important impact in confidence in estimate of effect.
    Very low quality evidence
    Effect is very uncertain.