GI / HepatologyRenal
Hepatorenal Syndrome
EASL/ICA — diagnosis of exclusion in cirrhosis, AKI workup, terlipressin + albumin, transplant referral.
Source: EASL 2018; ICA 2015
Step 1 of ~4
info
Recognise + Initial Workup
Cirrhosis + AKI (≥26 micromol/L rise in creatinine within 48h, or ≥1.5× baseline within 7 days). Stage AKI per ICA-AKI. Always exclude alternative causes first: hypovolaemia, sepsis, drugs (NSAIDs, ACE-I/ARB, aminoglycosides, IV contrast), obstruction, intrinsic renal disease.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Terlipressin · Vasopressin Analogue (V1 Receptor Agonist)
- Vasopressin / Terlipressin · Vasopressin Analogue — Vasodilatory Shock / Variceal Bleeding
- Terlipressin · Gastrointestinal Emergency
- Aciclovir 800mg Tablets (Ramsay Hunt Syndrome / Herpes Zoster Oticus) · Antiviral — nucleoside analogue (herpes zoster treatment)
- Albumin solution · Plasma derivative / colloid
- Pramipexole (Restless Legs Syndrome — Elderly) · Dopamine Agonist (D2/D3 Receptor)
Pathways
- Lower Gastrointestinal Bleed · BSG 2019; NICE NG141
- Variceal Upper GI Bleed · BSG 2015; Baveno VII (2022)
- Spontaneous Bacterial Peritonitis (SBP) · BSG / EASL 2018
- Hepatic Encephalopathy · EASL 2014; West Haven criteria
- Clostridioides difficile Colitis · NICE NG199 (2021); IDSA/SHEA 2021
- Acute Severe Ulcerative Colitis · BSG 2019; ECCO 2022
Decision support only. Always apply local guidelines and clinical judgement.