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Medicine

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Liver & GIT

Question
16 out of 18
 

Best treatment of hepato renal syndrome is ? (LQ)



A Liver transplantation

B Liver + Kidney transplantation

C Kidney transplantation

D Dialysis

Ans. A Liver transplantation

Hepatorenal Syndrome

i. It is a progressive functional renal failure occurring in patients with severe liver disease in the absence of identifiable specific causes of renal dysfunction.

ii. It is a functional failure i.e. kidney are not functioning is that patient but if they are transplanted in other patient of CRF, they function well!!!.

iii. Pathophysiology: Intense renal vasoconstriction with systemic vasodilatation.

Clinical features:

Worsening azotemia, hyponatremia, progressive oliguria and hypotension are the hallmark of the hepatorenal syndrome.

Features of hepato renal syndrome.

1. Increase in S. creatinine >1.5 or GFR < 40 ml/min

2. Urine sodium <10 meq/lit (Most important)

Treatment: Liver transplantation.

Liver & GIT Flashcard List

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