Selecting HCC, listing failure, and rescuing artery and duct

(A) List within Milan — single 5 cm or three nodules each 3 cm — with 75% survival and 83% recurrence-free at four years; modest UCSF expansion to 6.5/4.5/8 cm holds 90% at one year — and let his falling AFP reclassify him, since dynamics split recurrence 9.5/20.5/40.5% and rescue four-fifths of Milan-out patients.^[1][2][6]

(B) Her pH of 7.25 already crosses the paracetamol threshold below 7.30 with prothrombin and creatinine rules — so list tonight, since fulminant windows slam shut; then allocate by MELD death risk from 1.9% to 71.3%, not by waiting time.^[3][4]

(C) Treat absent signal as thrombosis until proven otherwise: 5% of grafts clot as the second graft-killer with 60% dead untreated — so angiography or theatre now with endovascular retrieval where organs are scarce, and relist at diagnosis since failed rescue leaves grafts at 48/31/23%.^[23][10]