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renal and liver disease

Revised diagnostic criteria of HRS

They may have struggled to get girlfriends in college, but members of the International Ascites Club do call the shots when it comes to defining hepato-renal syndrome (HRS). As they were published in Gut, their revised criteria for…

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Urinary Ascites

An unusual cause of ascites is urinary ascites: this occurs when there is rupture of either the ureter or bladder, leading to leakage of urine into the peritoneal space. In adults, this is almost always due to either…

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cholemic nephrosis?

Amongst the given differential diagnosis for acute renal failure in liver disease is an entity termed “cholemic nephrosis.”  It is debatable as to whether or not this actually exists or represents part of the spectrum of hepatorenal syndrome…

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Hepatorenal Syndrome: Treatment Options

Hepatorenal syndrome (HRS) is thought to be caused by splanchnic vasodilatation with relative renal vasoconstriction. The reversible nature of HRS is highlighted by the observation that patients with HRS who undergo liver transplant usually see a complete reversal…

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Hepatorenal Syndrome: Definitions

Hepatorenal syndrome is a very common consult topic for the 1st year renal fellow. All MDs trained in internal medicine realize that cirrhotic patients are amongst the sickest in the hospital, and one of the reasons for this…

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