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RENAL HEPATIC SYNDROME
DEFINITION YOU CAUSE SYMPTOMS DIAGNOSTIC TREATMENT TO CONSULT

DEFINITION

The renal hepatic syndrome appears in patients with hepatic cirrhosis, in whom suddenly it trumps the renal function.

CAUSES

Since in the hepatic cirrhosis, liquids accumulate in the peritoneum and a liquids retention takes place, urine is eliminated less and nitrogenous products accumulate in to the blood.

It usually give in persons with:

  • Alcoholic hepatitis
  • Cirrhosis
  • Sharp hepatic insufficiency

    • Being the risk factors so that these patients present the renal mistake:

  • Low blood pressure ortostática
  • Treatment with d diuretics
  • Gastrointestinal hemorrhage
  • Infections
  • Recent abdominal Paracentesis (liquid extraction peritoneal)

    • SYMPTOMS

    • Abdominal distension (abombamiento of the abdomen).
    • Modifications in the mental state, with confusion, enclosed frenzy dementia.
    • Erratic, spasmodic muscular movements.
    • Dark urine.
    • Decrease of the quantity of urine.
    • Morning sickness and vomiting.
    • Weight increase for the piled up liquids.
    • Yellow skin (jaundice).
      •

    DIAGNOSIS

    First it usually observe that the patient shows signs of chronic hepatic illness:

  • Jaundice, the yellow tone of skin and mucous membranes is the most typical thing.
  • Liquid excess in the abdomen (dropsy)
  • Hepatic Encefalopatía
  • Other signs of hepatic insufficiency, increase of mammary textile, vascular chandeliers, loss of hair in the trunk, etc...

    • And then, the following ones can be signs of renal insufficiency:

  • Absence or decrease of the volume of urine
  • Liquid retention in the abdomen or in the extremities
  • I increase in the Urea levels and creatinina
  • Increase of the specific thickness of the urine and his osmolalidad
  • Sodium low in blood and very low in the urine
    •

    TREATMENT

    It talks each other like any renal insufficiency also to try to support or improve the function of the liver to guarantee that there is sufficiently blood and that the heart is getting drunk in a suitable way, thus, on having leaked blood, the kidney will recover his function again.

    To realize a renal dialysis will be the first option.
    All kinds of poisonous medicines is suspended for the liver or kidneys that are not essential (ibuprofeno and other AINES, diuretics, etc...)

    Sometimes derivations are realized with surgery from the space abdominal (peritoneum) up to the jugular vein it can relieve some of the symptoms of renal insufficiency, if the general state of the patient can bear the surgery.

    The renal hepatic syndrome usually has very bad prognosis, it is very serious, and the death generally happens like result of secondary infections or hemorrhage.

    WHAT DOCTOR CAN TREAT ME?

    To look a specialist Service offered for
    Writing: Medical equipment   Update: June, 2009
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