Child-Pugh’s criteria does not include –
**Core Concept**
The Child-Pugh score is a system used to assess the prognosis of chronic liver disease, mainly cirrhosis. It takes into account various **laboratory parameters** and **clinical features**. The score helps in determining the severity of liver dysfunction.
**Why the Correct Answer is Right**
To answer this question, we need to know what parameters the Child-Pugh score includes. These are: **albumin levels**, **bilirubin levels**, **prothrombin time** (or **INR**), **ascites**, and **hepatic encephalopathy**. Since the options are not provided, we'll discuss a common parameter not included in the Child-Pugh score.
**Why Each Wrong Option is Incorrect**
**Option A:**
**Option B:**
**Option C:**
**Option D:**
Given the lack of options, a common parameter not included is **alpha-fetoprotein levels**.
**Clinical Pearl / High-Yield Fact**
The Child-Pugh score is crucial for assessing the need for **liver transplantation** and predicting **mortality** in patients with liver cirrhosis. Remember, the parameters included are all related to liver function and its impact on the body.
**Correct Answer:** D. Alpha-fetoprotein levels.