Hepatorenal syndrome differential diagnosis

Hepatorenal syndrome Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Hepatorenal syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Chest X Ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Hepatorenal syndrome differential diagnosis On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Hepatorenal syndrome differential diagnosis All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Hepatorenal syndrome differential diagnosis
CDC on Hepatorenal syndrome differential diagnosis
Hepatorenal syndrome differential diagnosis in the news
Blogs on Hepatorenal syndrome differential diagnosis
Directions to Hospitals Treating Hepatorenal syndrome
Risk calculators and risk factors for Hepatorenal syndrome differential diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunny Kumar MD [2]

Overview

Many other diseases of the kidney are associated with liver disease and must be excluded before making a diagnosis of hepatorenal syndrome. 

Differentiating Hepatorenal Syndrome from other Diseases

Many other diseases of the kidney are associated with liver disease and must be excluded before making a diagnosis of hepatorenal syndrome. They include the following:

Variables	Kidney injury associated with infection	Prerenal acute kidney injury	Hepatorenal syndrome	Parenchymal renal disease
Mechanism Causes	Infections, including SBP	Hypovolumia due: gastrointestinal fluid losses bleeding diuretic non-steroidal anti-inflammatory drug	Splanic vasodalation due to nitic oxide	Aminoglycoside therapy Radiocontrast agent Sepsis
Diagnostic clue	History of fever Blood cultures Ascetic cultures	History of: Bleeding Low blood pressure Intake of NSAID	Diagnosis of exclusion: Liver failure + Renal failure no apparent cause for the acute kidney injury No improvement on removing nephrotoxic agent repleating fluid loss	History of: Infections Injection of Dye intake of nephrotoxic agent
Prognosis	Good	Good	Poor	Good