GlobalRPh Clinical Reference Library

Hepatology, Cirrhosis & Liver Disease Resource Center

Liver-disease calculators, cirrhosis and portal-hypertension resources, alcohol-associated hepatitis scores, MASLD/MASH updates, viral-hepatitis treatment references, hepatic encephalopathy and ascites support, transplant links, liver-cancer resources, and current GlobalRPh hepatology reading.

Clinical background

Liver disease is best understood by cause, fibrosis stage, compensation status and complications

Abnormal liver enzymes are only one part of hepatology. Clinically important liver disease may involve steatosis, inflammation, fibrosis, cirrhosis, portal hypertension, impaired synthetic function, cholestasis, encephalopathy, ascites, renal dysfunction, viral infection, alcohol-associated injury, drug-induced injury, inherited disease or malignancy. Patients with similar laboratory values can have very different prognoses depending on the underlying disease and whether hepatic decompensation has occurred.

This redesigned portal brings GlobalRPh’s established liver scores and medication references together with newer MASLD/MASH material, current viral-hepatitis resources, cirrhosis management links, liver transplantation guidance and hepatocellular-carcinoma content. Older calculators remain available while we progressively update the formulas, terminology and clinical context around them.

Etiology Metabolic, alcohol-associated, viral, autoimmune, drug-related, cholestatic, genetic or vascular.
Fibrosis burden Risk rises as fibrosis progresses; noninvasive assessment increasingly guides referral and follow-up.
Compensation Ascites, encephalopathy and portal-hypertensive bleeding mark major changes in prognosis and management.
Transplant / cancer risk Advanced disease may require transplant evaluation and ongoing HCC surveillance.
  • MASLD / MASH
  • Cirrhosis & portal hypertension
  • Ascites & hepatorenal syndrome
  • Hepatic encephalopathy
  • Alcohol-associated liver disease
  • Hepatitis B & C
  • Acute / drug-induced liver injury
  • HCC & liver transplantation
Clinician In A Hepatology Care Setting

Core GlobalRPh calculators

Hepatology scores and prognostic tools

The existing Hepatology portal has a strong calculator foundation. The revised layout separates cirrhosis/transplant scores from alcohol-associated-hepatitis tools so the clinical purpose of each score is easier to recognize.

The GlobalRPh MELD and MELD-Na pages reflect earlier scoring frameworks. They remain useful for historical and educational context, but the current transplant-allocation formula should be obtained from OPTN/HRSA until the GlobalRPh calculators complete our planned update.

MASLD / MASH

Metabolic liver disease, fibrosis assessment and the new treatment era

Metabolic dysfunction-associated steatotic liver disease now sits at the intersection of Hepatology, Endocrinology, Cardiology and primary care. This section brings the newer GlobalRPh reviews together with current AASLD and FDA resources.

FDA-approved MASH pharmacotherapy now changes the landscape

Resmetirom (Rezdiffra) FDA-approved in 2024 under accelerated approval for adults with noncirrhotic MASH and moderate-to-advanced fibrosis (F2–F3), used with diet and exercise. FDA approval information
Semaglutide (Wegovy) FDA-approved in 2025 under accelerated approval for adults with noncirrhotic MASH and moderate-to-advanced fibrosis (F2–F3). FDA approval information
We plan to add a dedicated FIB-4 / noninvasive-fibrosis tool to GlobalRPh rather than forcing users to calculate fibrosis risk manually from an article. That tool is listed in our development section below.

Cirrhosis & portal hypertension

Compensated disease, clinically significant portal hypertension and decompensation

Hepatic encephalopathy, ascites & hepatorenal syndrome

Major decompensation-defining complications

The old Hepatology portal printed a stand-alone lactulose dose block directly on the landing page. The revised page replaces that static block with medication references and current guidance so dosing can be reviewed in clinical context.

New ascites, recurrent encephalopathy, portal-hypertensive bleeding, hepatorenal syndrome and other decompensation events can materially change prognosis and transplant candidacy. These complications require disease-specific evaluation rather than reliance on a single score or medication table.

Alcohol-associated liver disease

Severity scores, steroid-response assessment and current terminology

The original Hepatology portal contains multiple alcohol-associated-hepatitis scores. They are retained together here and explicitly separated from general cirrhosis scoring.

We are progressively replacing older “alcoholic hepatitis” wording in explanatory text with “alcohol-associated hepatitis” while retaining established calculator titles where the historical name is part of the validated score.

Viral hepatitis

Hepatitis B, hepatitis C and antiviral-treatment resources

The current GlobalRPh Anti-Hepatitis table is extensive but contains both current therapies and several older/discontinued HCV-era agents. The revised portal therefore pairs it with current AASLD/IDSA and CDC resources.

The existing GlobalRPh Anti-Hepatitis table includes historical agents such as boceprevir, telaprevir and several older HCV combinations. We plan to rebuild that page around currently used HBV and HCV regimens, current labeling, renal considerations, drug interactions and modern HCV simplified-treatment pathways.

Acute liver injury, acetaminophen toxicity & DILI

Drug-related injury and acute liver failure crossover

Acute liver failure is a medical emergency and may require rapid transfer to a liver-transplant center. The portal intentionally links directly to current AASLD acute-liver-failure guidance rather than placing a simplified treatment protocol on a general landing page.

Hepatocellular carcinoma & liver cancer

Surveillance, multidisciplinary care and GlobalRPh oncology crossover

HCC management depends on tumor stage, liver function, portal hypertension, performance status, transplant candidacy, locoregional options and systemic-therapy history. Oncology drug monographs are therefore supporting references rather than stand-alone treatment algorithms.

Liver transplantation

Allocation, candidate evaluation and post-transplant support

Hepatology pharmacotherapy

GlobalRPh liver-related drug references

The existing portal contained only three drug-table links plus a static lactulose dosing block. The updated section keeps those resources and adds closely related medication references.

GlobalRPh hepatology article library

Recent and established liver-disease reading

The old portal displayed only two articles. The updated library surfaces the stronger metabolic, alcohol-related, oncology and systemic-liver content already present across GlobalRPh.

2026–2025

Established GlobalRPh liver content

Patient education

Plain-language liver resources within GlobalRPh

Liver disease

Viral hepatitis

Liver transplantation

Video development

Building a dedicated Hepatology video collection

The existing Hepatology portal has an empty video section, and the current GlobalRPh master video library does not yet contain a dedicated Hepatology category. Rather than label loosely related videos as liver-specific, this portal identifies the subjects we plan to develop or surface as the video library expands.

Current destination

GlobalRPh’s main video library contains related Gastroenterology, Endocrinology, Nutrition, Oncology and medication-safety videos. Until a dedicated liver collection is created, the portal links to the full library rather than presenting crossover videos as dedicated Hepatology content.

Open the GlobalRPh Video Library

High-value liver video topics

  • MASLD / MASH and fibrosis screening
  • Current MELD and liver transplantation
  • Cirrhosis, ascites and portal hypertension
  • Hepatic encephalopathy
  • Hepatitis B and C treatment
  • Alcohol-associated hepatitis scoring
  • HCC surveillance and modern therapy

Planned GlobalRPh updates

Areas we’re continuing to improve in the Hepatology library

GlobalRPh’s hepatology calculator collection has been useful for many years, but transplant scoring, viral-hepatitis treatment, MASLD pharmacotherapy, portal-hypertension care and liver-transplant guidance have changed substantially. As we work through this section, we plan to update the clinical logic, terminology and references before redesigning each individual page.

Pages we plan to refresh

  • MELD / MELD-Na: this is the highest-priority calculator update in the section. We plan to replace the old transplant-allocation framework with the current OPTN MELD formula, clearly label historical formulas, verify input boundaries, and update the explanation of how allocation scoring differs from general prognosis.
  • Child-Turcotte-Pugh: we plan to preserve this widely used score while clarifying its subjective ascites/encephalopathy components, current uses, limitations, and relationship to MELD and newer prognostic methods.
  • ABIC / AHHS / GAHS / Maddrey / Lille: we plan to update terminology to alcohol-associated hepatitis, clarify when each score is calculated, separate prognosis from treatment decisions, update steroid-response context, and connect the scores to current ALD guidance.
  • Anti-Hepatitis Agents: this is a major medication-table update. The current page still contains multiple historical or discontinued HCV agents. We plan to rebuild it around current chronic HBV therapy, current direct-acting HCV regimens, pregnancy/coinfection considerations, renal dosing, drug interactions and modern AASLD/IDSA guidance.
  • Interferons: we plan to reposition this from a central viral-hepatitis treatment table to a historical/current-indication reference, reflecting the much smaller role of interferon in modern hepatitis C care.
  • Hepatic encephalopathy: we plan to create a dedicated GlobalRPh page that integrates precipitating-factor review, lactulose, rifaximin, recurrence prevention, medication contributors, nutrition and current guideline context instead of relying on a dose block embedded in the portal.
  • Ascites / portal hypertension: we plan to build a dedicated cirrhosis-complications page covering diuretic therapy, sodium intake, paracentesis, SBP, nonselective beta blockers, variceal prevention, TIPS, renal dysfunction and transplant referral.
  • MASLD / MASH: we plan to build a permanent clinical hub that combines metabolic-risk assessment, noninvasive fibrosis testing, FIB-4, elastography pathways, lifestyle therapy, resmetirom, semaglutide, diabetes/obesity crossover, cardiovascular risk and HCC/fibrosis follow-up.
  • HCC: we plan to expand the current scattered oncology articles into a hepatology-facing HCC reference covering surveillance, diagnostic imaging, liver function, transplant/locoregional options, systemic therapy and multidisciplinary decision-making.
  • Acute liver failure / acetaminophen injury: we plan to connect the existing acetylcysteine and toxicology material to a dedicated acute-liver-failure workflow with early transplant-center referral and current AASLD guidance.
  • Drug-induced liver injury: we plan to add a dedicated DILI reference covering medication and supplement history, biochemical injury pattern, alternative diagnoses, causality concepts and the AASLD practice guidance.
  • Hemochromatosis / iron overload: we plan to connect the newer GlobalRPh hemochromatosis article with a practical hepatic iron-overload pathway and Hematology cross-links.
  • Transplant resources: we plan to add a clearer liver-transplant center covering referral, candidate evaluation, allocation, immunosuppression monitoring, infection prevention, renal complications and post-transplant medication interactions.
  • Laboratory interpretation: we plan to build a more useful liver-test framework distinguishing hepatocellular injury, cholestasis, synthetic function, bilirubin patterns and when normal transaminases do not exclude advanced liver disease.
FIB-4 calculator Add a dedicated noninvasive fibrosis tool with age-aware interpretation and MASLD/HCV context.
Current MELD calculator Replace the historical MELD/MELD-Na allocation pages with the current OPTN formula.
SAAG / ascites tool Evaluate a serum-ascites albumin gradient tool linked to a modern ascites diagnostic pathway.
MASLD fibrosis pathway Combine FIB-4, secondary testing and referral thresholds into a practical workflow.
Alcohol screening Evaluate an AUDIT-C workflow with liver-specific treatment and referral context.
Hepatic medication review Evaluate a tool for identifying medications that need additional review in significant hepatic impairment.
Our goal is to preserve the useful liver scores and pharmacy references that clinicians already know while making current formulas, treatment advances, terminology and safety limitations much easier to identify.

Current external clinical guidance

Primary liver-disease and transplant resources

Hepatology is changing quickly across MASLD/MASH, transplant medicine, chronic hepatitis B, cirrhosis and liver cancer. These primary resources provide current context while individual GlobalRPh pages are progressively refreshed.

AASLD Practice Guideline Library Primary liver-disease guideline hub covering MASLD, portal hypertension, ascites/HRS, HCC, viral hepatitis, transplant, DILI and other hepatology topics. Open AASLD guidelines
AASLD MASLD / MASH Guidance Includes current resmetirom and semaglutide updates plus fibrosis and treatment guidance. Open MASLD guidance
AASLD Portal Hypertension & Varices Current guidance for risk stratification and management of portal hypertension and varices in cirrhosis. Open portal-hypertension guidance
AASLD Ascites / SBP / HRS Guidance for ascites, spontaneous bacterial peritonitis and hepatorenal syndrome. Open ascites guidance
AASLD Hepatocellular Carcinoma Current HCC prevention, diagnosis, surveillance and treatment guidance. Open HCC guidance
AASLD / IDSA Chronic Hepatitis B – 2025 Updated chronic-HBV treatment guidance announced in November 2025. Open HBV guideline update
AASLD / IDSA HCV Guidance Continuously maintained recommendations for testing, evaluation, treatment and follow-up of hepatitis C. Open HCV guidance
AASLD Alcohol-Associated Liver Disease Current professional resources covering alcohol-associated liver disease and alcohol-use treatment. Open ALD guidance
AASLD / AST Adult Liver Transplantation Current candidate-evaluation and post-transplant guideline resources. Open transplant guidance
OPTN / HRSA MELD Calculator Official current liver-allocation calculator used while the GlobalRPh MELD tools are being updated. Open official MELD calculator
AASLD Drug-Induced Liver Injury Practice guidance for prescription-drug, herbal and dietary-supplement liver injury. Open DILI guidance
AASLD Acute Liver Failure Guidance for acute liver failure, including recognition, supportive management and transplant-center considerations. Open acute-liver-failure guidance

Supporting GlobalRPh resources

Related specialties, laboratory support and directories

Why older liver scores and medication pages remain linked during the update process

Some of GlobalRPh’s oldest hepatology pages remain useful as historical calculators, medication references or educational tools even though current practice has moved forward. We are keeping these links active while updating the formulas, terminology, product availability and guideline context so longstanding GlobalRPh resources are not lost during the modernization process.

Alphabetical Listing of individual drugs

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Common LAB Values  Renal Dosing