Types of Hepatorenal syndrome

Q: Which of the hepatorenal syndrome is considered more serious? (select one) 

 A) Type 1 
 B) Type 2


Answer: A

Hepatorenal Syndrome is classified into Type 1 and Type 2 on the basis of the rapidity of the decline of renal function, and clinical signs.

Type 1 is considered more serious as decline happens quickly with oliguria and rise in creatinine within 10-14 days.

Type 2 is a slow and insidious process marked by the ascites which is resistant to diuretics.


#nephrology
#hepatology


References:

Arroyo V, Ginès P, Gerbes AL, et al. Definition and diagnostic criteria of refractory ascites and hepatorenal syndrome in cirrhosis. International Ascites Club. Hepatology 1996; 23:164.

Ginès P, Schrier RW. Renal failure in cirrhosis. N Engl J Med 2009; 361:1279.