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nephrology diagnosis treatment hepatology causes differential medications pharmacology aki algorithm alkalosis checklist complications correction criteria diuretics esld excretion gastroenterology gitelman
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 ... #Hepatorenal #Syndrome ... #HRS #Management ... #Algorithm #nephrology
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Liver Disease (Cirrhosis ... Hepatopulmonary Syndrome ... (HPS) • Hepatorenal ... Syndrom (HRS) ... Complications #diagnosis #management
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... in 3 months • Cirrhosis ... nephrotoxics (e.g. diuretics ... disease - Cirrhosis ... #Hepatorenal #Syndrome
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
Pharmacological Treatment of Hepatorenal Syndrome (HRS) Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment of Hepatorenal ... Syndrome (HRS) ... amzn.to/34t5DgJ #HRS ... #HepatoRenal #Syndrome ... #Nephrology #Management
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome ... irrigation • Management ... failure, liver cirrhosis ... and nephrotic syndrome ... #Nephrology #Pharmacology
Hepatorenal Syndrome Treatment Volume expansion: • Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... EricsMedicalLectures/ #Hepatorenal ... #Syndrome #Treatment ... #management #HRS ... #nephrology
Hepatorenal Syndrome - Diagnosis and Management Summary Who gets HRS? • Decompensated cirrhosis • Typically with existing
Hepatorenal Syndrome ... Diagnosis and Management ... Decompensated cirrhosis ... #Syndrome #HRS ... #Diagnosis #Management
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Thiazide or loop diuretics ... after renal tubule diuretic ... effect has dissipated ... hyperaldosteronism) • Severe Cushing ... Diagnosis #Causes #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... Weakness, cramping ... delivery): CHF, cirrhosis ... depress, ↑PR ↑QRS ... Treatment #potassium #nephrology
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