A 55-year-old male IV drug user with a history of advanced liver disease presents with oliguria, jaundice, ascites, and gastrointestinal bleeding. He is diagnosed with hepatorenal syndrome. Which of the following would aid in this diagnosis?
A) Cirrhosis and renal artery stenosis
B) Hepatitis and glomerulonephritis
C) Ascites and nephrotic syndrome
D) Portal hypertension and renal failure caused by circulatory problems

Question

Quizplus · Accepted Answer

The patient's presentation is consistent with hepatorenal syndrome, which is a type of renal failure that occurs in patients with advanced liver disease and can present as oliguria, jaundice, ascites, and gastrointestinal bleeding. The presence of portal hypertension and renal failure caused by circulatory problems support this diagnosis. Cirrhosis and renal artery stenosis can contribute to renal failure, but without the presence of portal hypertension, this diagnosis is less likely. Hepatitis and glomerulonephritis can also cause renal failure, but they do not typically present with the other symptoms described. Ascites and nephrotic syndrome are also associated with liver disease but do not necessarily indicate hepatorenal syndrome.

A 55-Year-Old Male IV Drug User with a History of Advanced