Abdominal US
Diagnostic paracentesis
Ascites fluid cultures and analysis
Labs:
CBC with diff
BMP
LFTs
Blood cultures
Urinalysis
Urine electrolytes and osmolality
Consultants: alpha-fetoprotein, cryoglobulins
All major criteria must be met for diagnosis for both<unk>  types 1 and 2:
Serum creatinine >1.5mg/dL
No improvement in renal function after halting diuretics AND admin of 1.5 L of plasma expander
Proteinuria <500mg/d
No ultrasound evidence of obstructive uropathy or renal parenchymal disease
Absence of shock, bacterial infection, hypovolemia, nephrotoxic meds
Supporting criteria not required for diagnosis:
Uop <500 cc/day
Urine sodium <10 mEq/L
Urine osmolality > plasma osmolality
Urine RBC <50 cells/hpf
Serum sodium <130 mEq/L
CBC with diff
BMP
LFTs
Blood cultures
Urinalysis
Urine electrolytes and osmolality
Consultants: alpha-fetoprotein, cryoglobulins
Serum creatinine >1.5mg/dL
No improvement in renal function after halting diuretics AND admin of 1.5 L of plasma expander
Proteinuria <500mg/d
No ultrasound evidence of obstructive uropathy or renal parenchymal disease
Absence of shock, bacterial infection, hypovolemia, nephrotoxic meds
Uop <500 cc/day
Urine sodium <10 mEq/L
Urine osmolality > plasma osmolality
Urine RBC <50 cells/hpf
Serum sodium <130 mEq/L
Hepatorenal syndrome
Hypovolemia-induced renal failure
Dialysis disequilibrium syndrome
GI bleed
Kidney transplant complications
Diuretics
Hemolytic uremic syndrome
Diarrhea