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Kidney failure from advanced liver disease — functional, potentially reversible with liver transplant.
Hepatorenal syndrome (HRS-AKI) occurs in cirrhosis with ascites: kidneys fail functionally despite normal histology. Treatment includes albumin with terlipressin (or norepinephrine), and liver transplant is definitive. It must be distinguished from tubular injury and volume depletion — volume expansion is the first step.
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This content is a general reference, not medical advice, a diagnosis, or a treatment plan. Do not change your diet, fluids, medicines, or dialysis plan without your nephrologist or renal dietitian. Individual recommendations depend on your labs, medications, conditions, and care plan.