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(Classes of Liver and Biliary Impairment cont)
and Nutrition and strength are good; and Biochemical studies indicate minimal disturbance in liver function; or Primary disorders of bilirubin metabolism are present.
Class 2. Impairment of the Whole Person, 6—20%
There is objective evidence of chronic liver disease even though no symptoms of liver disease are present, and no history of ascites, jaundice, or bleeding esophageal varices within 3 years; and Nutrition and strength are good; and Biochemical studies indicate more severe liver damage than Class 1.
Class 3. Impairment of the Whole Person, 21—45% There is objective evidence of progressive chronic liver disease, or history of jaundice, ascites, or bleeding esophageal or gastric varices within the past year; and Nutrition and strength may be affected; or There is intermittent hepatic encephalopathy.
Class 4. Impairment of the Whole Person, 46—75%There is objective evidence of progressive chronic liver disease, or persistent ascites or persistent jaundice or bleeding esophageal or gastric varices, with central nervous system manifestations of hepatic insufficiency; and Nutritional state is poor.
Classes of Liver and Biliary Impairment (Biliary Tract Impairment)Class 1—Impairment of the Whole Person, 1—5% There is an occasional episode of biliary tract dysfunction.
Class 2. Impairment of the Whole Person, 6-20% There is recurrent biliary tract impairment irrespective of treatment.
Class 3. Impairment of the Whole Person, 21—45% There is irreparable obstruction of the bile tract with recurrent cholangitis.
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