Diagnostic criteria for hepatorenal syndrome.
|Modified criteria for diagnosis of hepatorenal syndrome|
|Cirrhosis with ascites|
|Serum creatinine > 1.5 mg%|
|Absence of shock|
|Absence of hypovolemia (no improvement in renal function after at least 2 days of diuretic withdrawal and volume expansion with albumin in a dose of 1 gm/kg/day)|
|No ongoing or recent treatment with nephrotoxic drugs|
|Absence of intrinsic renal disease (proteinuria < 0.5 gm/day; urine RBCs < 50/HPF; normal renal ultrasound)|