Review
Copyright ©2007 Baishideng Publishing Group Inc.
World J Gastroenterol. Nov 14, 2007; 13(42): 5552-5559
Published online Nov 14, 2007. doi: 10.3748/wjg.v13.i42.5552
Table 3 Differential diagnosis of ARF in advanced liver disease
Prerenal failureIntrinsic renal failureHRS
Urine sodium< 10> 30< 10
U/Pcreat> 30:1< 20:1> 30:1
U/PosmUO > POUO = POUO > PO
Urine sedimentNormalCasts, cellular debrisUnremarkable
History diseaseProfound volumeVolume contractionAdvanced liver disease
Clinical course (renal response)ContractionNephrotoxic agent sepsisTence ascites
Fluid challenge+--
Vasoconstriction±-+
UltrasoundElevated resitive indexElevated resitive indexElevated resitive index