Hepatorenal syndrome differential diagnosis: Difference between revisions

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==Overview==
==Overview==
Many other diseases of the kidney are associated with liver disease and must be excluded before making a diagnosis of hepatorenal syndrome. 
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==
==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:
Many other diseases of the [[kidney]] are associated with [[Liver diseases|liver disease]] and must be excluded before making a diagnosis of hepatorenal syndrome. They include the following:
{| class="wikitable"
{| class="wikitable"
!Variables
!Variables
!Kidney injury associated with infection
![[Kidney]] injury associated with infection
!Prerenal acute kidney injury
!Prerenal [[Acute kidney injury|acute kidney injur]]<nowiki/>y
!Hepatorenal syndrome
!Hepatorenal syndrome
!Parenchymal renal disease
!Parenchymal renal disease
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|Mechanism
|Mechanism
Causes
Causes
|Infections, including SBP
|[[Infection|Infections]], including SBP
|Hypovolumia due:
|Hypovolumia due:
gastrointestinal fluid losses
gastrointestinal fluid losses
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diuretic
diuretic


nonsteroidal anti-inflammatory drug
[[non-steroidal anti-inflammatory drug]]
|Splanic vasodalation due to nitic oxide
|Splanic vasodalation due to nitic oxide
|Aminoglycoside therapy
|[[Aminoglycoside]] therapy
Radiocontrast agent
[[Radiocontrast|Radiocontrast agent]]


Sepsis
Sepsis
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|Diagnostic clue
|Diagnostic clue
|History of fever
|History of fever
Blood cultures  
[[Blood culture|Blood cultures]]


Ascetic cultures
Ascetic cultures
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Bleeding
Bleeding


low blood pressure
Low [[blood pressure]]


Intake of NAISD
Intake of [[Non-steroidal anti-inflammatory drug|NSAID]]
|Diagnosis of exclusion:
|Diagnosis of exclusion:
Liver failure + Renal failure
Liver failure + Renal failure
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repleating fluid loss
repleating fluid loss
|History of:
|History of:
Infections
[[Infection|Infections]]


Injection of Dye
Injection of [[Dye]]


intake of nephrotoxic agent
intake of nephrotoxic agent

Revision as of 20:32, 21 December 2017

Hepatorenal syndrome Microchapters

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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

References

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