1.2541 The presence of two of following five criteria is considered as evidence of hepatic decompensation: 1.25411 Presence of ascites; 1.25412 Presence of hepatic encephalopathy; 1.25413 hypoalbuminemia with serum albumin < 3 g/dl; 1.25414 hyperbilirubinemia with serum bilirubin > 3 mg/dl; 1.25415 Prolongation of prothrombin time with PT > 2 sec above base-line. 1.2542 Serial workup have to be taken to rule out the presence of other predisposing factor (such as spontaneous bacterial peritonitis, constipation, electrolyte imbalance,...ect) to cause the S/S of hepatic decompensation. If any, start specific treatment.