Hepatorenal Syndrome Differential Diagnoses

Updated: Sep 22, 2022
  • Author: Deepika Devuni, MD; Chief Editor: BS Anand, MD  more...
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Diagnostic Considerations

Also consider the following in the differential diagnosis of hepatorenal syndrome (HRS):

  • Prerenal azotemia from volume depletion

  • Drug-induced nephrotoxicity: Commonly implicated medications include nonsteroidals, aminoglycosides, diuretics, and iodine-containing contrast agents; other medications that may contribute to renal dysfunction in these patients are angiotensin-converting enzyme (ACE) inhibitors, demeclocycline, and dipyridamole

  • Postrenal azotemia from outflow obstruction

  • Renal vascular disease

Differential Diagnoses