00:01 An important understanding of Hepatorenal Syndrome is required. 00:07 This is a functional renal failure without underlying renal pathology. 00:12 This is not nephralic syndrome, this is not nephrotic syndrome nor it is arteriosclerosis taking place at the renal artery. 00:19 The perfectly functional kidney, used to be the patient developed portal hypertension and now, there is a functional renal failure Is that clear? Very interesting. Important? Yes. 00:35 Type I: Severe with rapid renal failure. 00:40 your GFR drops, mortality almost 100% So, from now on, whenever you have portal hypertension, you can now go beyond, just cure hepatic portal hypertension, can't you? An important topic. 00:55 Type II: Insidious drop in GFR. 00:58 Diagnosis of exclusion. 00:59 Here, you'll find that urine sodium is less than 10mEq/L urine sodium is less than 10mEq/L It means to say, it is not able to properly take care of sodium handling. 01:08 There is no established therapy which makes it really dangerous. 01:12 And after transplantation of liver, it seems as though the kidney actually comes back to life. 01:18 Fascinating. We don't know a whole lot about it but we know just enough, where that statistic of 100% mortality puts it on the radar, big time.
The lecture Hepatorenal Syndrome by Carlo Raj, MD is from the course Cirrhosis – Liver Diseases.
What is the treatment of choice for patients with hepatorenal syndrome?
Which of the following factors determines the type of hepatorenal syndrome?
Which of the following statements regarding hepatorenal syndrome is NOT true?
Which of the following statements regarding hepatorenal syndrome is TRUE?
A patient is diagnosed with hepatorenal syndrome. Which of the following laboratory abnormalities would be expected in this patient?
A 48-year-old man with cirrhosis is admitted to the hospital with spontaneous bacterial peritonitis. His lab values show: total bilirubin = 2.0 mg/dL, albumin level = 2.0 g/dL, creatinine = 1.2, and urine Na = 8 mEq/L on hospitalization. On day 6, the creatinine rises to 4.2, and the patient is anuric. What is the diagnosis of the patient?
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