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diagnosis nephrology differential algorithm hyponatremia hrs low treatment hepatology hypokalemia potassium sodium table aki alkalosis classification criteria diuretics encephalopathy excretion
AKI in Cirrhosis - Hepatorenal Syndrome Management Algorithm DOI: 10.1136/bmj.m2687 #AKI #Cirrhosis #Hepatorenal #Syndrome #HRS #Management #Algorithm #nephrology
AKI in Cirrhosis ... - Hepatorenal Syndrome ... Management Algorithm ... #Hepatorenal #Syndrome ... #Algorithm #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome ... irrigation • Management ... and nephrotic syndrome ... Kidney stones caused ... #Nephrology #Pharmacology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... nephrotoxics (e.g. diuretics ... - No other cause ... - No other cause ... #Syndrome #diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Renal losses, Diuretic ... Ketonuria, Osmotic diuresis ... , Cirrhosis, Cardiac ... #nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Carbenoxolone, SAME, Cushing ... Syndrome • HTN ... Loop and thiazide diuretics ... Diagnosis #Algorithm #causes ... potassium #low #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... especially thiazide diuretics ... heart failure • Cirrhosis
Hepatorenal Syndrome Diagnosis • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome ... (e.g. advanced cirrhosis ... output and/or ↓ diuretic ... #Syndrome #diagnosis ... #HRS #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... especially thiazide diuretics ... heart failure • Cirrhosis
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... intake: Alcoholism (cirrhosis ... Saline or osmotic diuresis ... • Drugs: Loop diuretics ... Hypomagnesemia #Causes
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... (AKI, Post-AKI diuresis ... Heart failure, Cirrhosis ... , Nephrotic syndrome ... table #sodium #nephrology
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