What is the role of a CBC with differential in the workup of hepatorenal syndrome (HRS)?

Updated: Oct 16, 2017
  • Author: Deepika Devuni, MD; Chief Editor: BS Anand, MD  more...
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Answer

This may indicate the presence of underlying infection such as spontaneous bacterial peritonitis (SBP) if leukocytosis or bands are present, a condition known to present with reversible impairment in renal function. However, many patients with SBP do not have serum leukocytosis. Because shock from gastrointestinal bleeding may cause acute tubular necrosis, checking the hematocrit level and platelet count is helpful.


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