Before Liver Transplant - Diagnostic Test
Common Test for a Liver Transplant
Your Transplant team will need to perform a series of medical tests which may include
- Physical exam with routine laboratory tests (Blood chemistry and blood counts)
- Medical family and social histories
- Blood Typing (A /B/C)
- Viral testing to check for infections such as hepatitis C (H C V), Epstein Barr virus (E B V), or Human immunodeficiency Virus (HIV)
- Panel of Reactive antibodies (PRA) may also be measured to see if there are specific antibodies in your blood. This helps your doctor understand how your body will react to a transplant
- X - rays or scans of the liver
- 24 hours urine test.
- A Liver Biopsy may also be performed
MELD SCORE - Your "MELD" score is another key part of your evaluation. MELD Stands for Model for end age liver disease. MELD is a numerical scale that determines how urgently you need a liver transplant within the next 3 months.
Your "MELD" score is based on certain laboratory tests such as
- Serum Bilirubin which measures how well gets rid of bile
- INR or international normalized ratio for prothrombin time which measures your liver ability to make substances that keep the blood from clots
- Serum creatinine which measures how well your kidneys are working
MELD scores will need to be determined on an ongoing basis while you are a candidate. PELD (Pediatric End Stage Liver Disease) is a similar Numerical scale for pediatric patients.
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