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About the Lecture
The lecture Hepatorenal Syndrome by Carlo Raj, MD is from the course Cirrhosis – Liver Diseases.
Included Quiz Questions
What is the treatment of choice for patients with hepatorenal syndrome?
- Liver transplantation
- Chemotherapy
- Steroids
- Antibiotics
- Antihypertensives
Which of the following factors decides the type of hepatorenal syndrome?
- Rapidity in the loss of the renal function
- Amount of loss of renal function
- Severity of loss of renal function
- Severity of loss of hepatic function
- Rapidity of loss of hepatic function
Which of the following statements is NOT true regarding hepatorenal syndrome?
- Type 2 shows rapid loss of renal function.
- There is type 1 and type 2 hepatorenal syndrome.
- It is defined as the functional renal failure without underlying renal pathology secondary to portal hypertension.
- Type 1 hepatorenal syndrome has a high rate of mortality.
- Hepatorenal syndrome is usually a diagnosis of exclusion with urine Na<20 mEq/L.
Which of the following statements is TRUE regarding hepatorenal syndrome?
- Hepatorenal syndrome type 1 is defined as at least a twofold increase in serum creatinine to a level greater than 2.5 mg/dL in less than two weeks.
- Type 2 shows rapid loss of renal function.
- Hepatorenal syndrome is treated with steroids and antihypertensives.
- Hepatorenal syndrome is usually diagnosed with certainty based on the renal function only.
- Hepatorenal syndrome does not improve after liver transplantation.
A patient is diagnosed with hepatorenal syndrome. What is the laboratory analysis of this patient?
- Serum creatinine - Increased Urine Na - Decreased Serum transaminases - Increased
- Serum creatinine - normal Urine Na - Decreased Serum transaminases - Increased
- Serum creatinine - Increased Urine Na - Decreased Serum transaminases - normal
- Serum creatinine - Increased Urine Na - increased Serum transaminases - Increased
- Serum creatinine - decreased Urine Na - Decreased Serum transaminases - decreased
A 48-year-old man with cirrhosis is admitted to hospital with spontaneous bacterial peritonitis. His lab values show total bilirubin = 2.0mg/dl, Albumin level = 2.0g/dl, Creatinine is 1.2 and Urine Na = 8 mEq/L on hospitalisation. On day 6 his creatinine rises to 4.2 and is anuric. What is the diagnosis of the patient?
- Type I hepatorenal syndrome
- Type 2 hepatorenal syndrome
- Hepatopulmonary syndrome
- Non alcoholic liver disease
- Cirrhosis with portal hypertension
Author of lecture Hepatorenal Syndrome
Carlo Raj, MD
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