Fulminant Hepatic Failure Prediction Criteria

Cause of the fulminant hepatitis

Age of patient

Is jaundice present?

Date of onset of jaundice (MM/DD/YYYY)

Is encephalopathy present?

Grade of encephalopathy (enter 1, 2, 3 or 4)

Date of encephalopathy onset (MM/DD/YYYY)

Prothrombin time

Serum bilirubin

Serum creatinine

Arterial pH at 24 hours or more after the overdose and after correction of hypovolemia