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hepatology differential aki treatment nephrology pharmacology table aclf acutekidneyinjury albumin cardiology causes chemistry chf chronic clinical criticalcare dili diuretics druginduced
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... Torsemide) • Acute ... cirrhosis, and ... hyperaldosteronism • Acute
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... those with CLD (± cirrhosis ... Circulation Failure Kidney ... Injury (DILI) ... #diagnosis
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... - Differential Diagnosis ... Algorithm Vascular ... Liver Injury: ... hepatitis: < 1 • Cirrhosis
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... ascites removed • Acute ... kidney injury ( ... #Cirrhosis #treatment
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
Acute Kidney Injury ... urinalysis, labs - Management ... volume deficiency, Diuretics ... appropriate) #Acute ... #Kidney #Injury
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Syndrome (HRS) - Diagnostic ... Criteria HRS-AKI (Acute ... nephrotoxics (e.g. diuretics ... injury: No proteinuria ... HRS-NAKI (Non-Acute
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
hepatitis: < 1 • Cirrhosis ... cardiac muscle, RBC, Kidney ... Cardiac muscle, Kidneys ... trimester placenta, kidneys ... #chemistry #diagnosis
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
Outpatient Hypertension Management ... Algorithm Monotherapy ... ACE-I or ARB + Diuretic ... Kidney Injury ... #Algorithm #PrimaryCare
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis ... Algorithm DILI ... Skin involvement, Kidney ... dechallenge • Acute ... #Injury #Diagnosis
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... high preload → Diuretics ... Treat underlying liver ... #Kidney #Injury
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