Write about Hepatorenal Syndrome here.

• HRS occurs in 18% of cirrhotic patients with ascites

• Intense renal vasoconstriction

• Reduced GFR

• Normal renal histology

Treatment = Albumin IV ± heamodialysis

• In cirrhosis, reduced hepatic clearance of immune complexes leads to their trapping in the kidney (therefore -> IgA nephropathy ± hepatic glomerulosclerosis)