Hepatorenal Syndrome Diagnosis and Considerations
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Questions and Answers

This patient's abnormal LFTs can be attributed to his known ______.

cirrhosis

The most likely diagnosis is ______ syndrome, but it must be remembered that this is a diagnosis of exclusion.

hepatorenal

An ultrasound should be performed to exclude the presence of urinary ______.

obstruction

Spontaneous bacterial peritonitis (SBP) is a frequent precipitant of ______ syndrome.

<p>hepatorenal</p> Signup and view all the answers

Patients with cirrhosis develop decreased peripheral vascular resistance secondary to splanchnic ______.

<p>vasodilation</p> Signup and view all the answers

What condition is indicated by the patient's elevated BUN and creatinine, and why is correlation with prior creatinine values needed?

<p>Acute renal failure; correlation with prior creatinine values is needed to confirm the acute nature of the renal failure.</p> Signup and view all the answers

What diagnostic test should be performed to exclude the presence of urinary obstruction in this patient?

<p>Ultrasound</p> Signup and view all the answers

What is the potential role of paracentesis in this patient, and what condition is it meant to diagnose?

<p>Paracentesis is indicated to diagnose spontaneous bacterial peritonitis (SBP), which is a frequent precipitant of hepatorenal syndrome.</p> Signup and view all the answers

What is the significance of the patient's cell count being far below the 250 cells/mm³ needed for a diagnosis of SBP?

<p>The low cell count rules out SBP as a cause of the patient's condition.</p> Signup and view all the answers

What would be an appropriate next step to confirm a diagnosis of hepatorenal syndrome in this patient, and what would a failure to respond indicate?

<p>A volume challenge would be an appropriate next step to confirm a diagnosis of hepatorenal syndrome. A failure to respond would be consistent with hepatorenal syndrome.</p> Signup and view all the answers

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