Your 78-year-old patient is demonstrating progressive Azotemia, elevated serum Creatinine levels, and Oliguria.  What symptom of liver failure does this appear to be?

  1. Varices
  2. Hepatic encephalopathy
  3. Jaundice
  4. Hepatorenal syndrome
  5. All of the above
Explanation
Answer: D - Progressive azotemia, elevated serum Creatinine levels and oliguria are all signs and symptoms of Hepatorenal syndrome. Coma caused by the inability of the liver to convert ammonia to urea would be reflective of hepatic encephalopathy.
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