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differential management nephrology algorithm gastroenterology acute aki hematology anemia classification hepatopulmonary aclf acutekidneyinjury albumin aplastic ascites bariatric bilirubin bypass chemistry
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Management of Cirrhosis ... removed • Acute kidney ... injury (≥ 1B) - ... • Hepatorenal syndrome ... #treatment #hepatology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
months without treatment ... Circulation Failure Kidney ... Injury (DILI) ... #Hepatology #gastroenterology ... #management #diagnosis
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
- Differential Diagnosis ... Algorithm Vascular Causes ... function may be abnormal ... hepatitis: < 1 • Cirrhosis ... #algorithm #hepatology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... injury: No proteinuria ... No haematuria, Normal ... #HRSNAKI #hepatology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
hepatitis: < 1 • Cirrhosis ... Cardiac muscle, Kidneys ... • Gilbert's syndrome ... #chemistry #diagnosis ... #differential #Hepatology
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... a.k.a. cardiorenal syndrome ... ) • Liver failure ... tubular necrosis (causes ... #diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... osmolarity If cause ... investigations abnormal ... #nephrology #causes
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Skin involvement, Kidney ... non-essential drug/HDS treatments ... for alternative causes ... #Injury #Diagnosis ... #Algorithm #hepatology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Diagnosis of ... stones caused by ... cirrhosis, and ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... Injury (AKI) ... What to ask/look ... - TTE/liver fxn? ... #Diagnosis #Algorithm
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