21st April 2024

A 58-year-old gentleman with known chronic liver disease is admitted to hospital with a variceal bleed

A 58-year-old gentleman with known chronic liver disease is admitted to hospital with a variceal bleed. This is treated endoscopically, but he remains unwell and oliguric, with deteriorating renal function, and rising creatinine. His diuretics are held and he is treated with IV fluids and terlipressin for suspected hepatorenal syndrome.

Which of the following features would NOT be consistent with a diagnosis of hepatorenal syndrome?

Select the SINGLE most appropriate option from the list below. Select ONE option only.