Renal failure in patients with cirrhosis.

Mackelaite, Lina; Alsauskas, Zygimantas C; Ranganna, Karthik · Med Clin North Am · 2009

review · Level V

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Abstract

Renal failure in cirrhosis poses unique diagnostic and therapeutic challenges. Laboratory values and predictive equations grossly overestimate renal function in patients with cirrhosis. Development of renal failure connotes a worse prognosis; mortality is especially high with hepatorenal syndrome. Classification of the causes of renal failure in patients with cirrhosis is provided with more extensive discussion of selected causes. Finally, a suggested diagnostic approach to renal failure in cirrhosis is given.

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