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Unknown General a1338cd1

Hepatorenal syndrome characterised by all except:

A
No proteinuria
B
Normal intrinsic' kidney.
C
Liver failure
D
Urine osmolality less than plasma osmolality
High-Yield Explanation
Renal failure consequent on liver failure can occur in cirrhosis. The kidney's they are intrinsically normal and renal failure is thought to result from altered systemic blood flow including diminished renal blood flow: • It occurs in advanced cirrhosis at most alwaysand ascites   Absence of proteinuria or abnormal urinary sediment.   Urine sodium excretion below lOmmol/day.   Serum Na t- concentration < 130 m Eq/L?   Urinary osmolality greaterthan   plasma osmolality.   Urine volume < 500 ml/day.

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