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HepatoRenal Syndrome - Pathophysiology

Dr. Edgar V. Lerma @edgarvlermamd - Nephrology Secrets https://amzn.to/34t5DgJ

#HRS #HepatoRenal #Syndrome #Pathophysiology #Diagnosis
HepatoRenal Syndrome ... - Pathophysiology ... amzn.to/34t5DgJ #HRS ... #HepatoRenal #Syndrome ... #AKI
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
Hepatorenal Syndrome ... Criteria HRS-AKI ... renal ultrasound HRS-NAKI ... 2) • HRS-AKD ... #Hepatorenal #Syndrome
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... ) - Differential ... Hypoperfusion • Hepatorenal ... syndromes • Drugs ... #Nephrology #Differential
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
failure (a.k.a. hepatorenal ... syndrome) Intrarenal ... vasculitis - TTP/HUS ... tubular necrosis (causes ... Classification #diagnosis #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
AKI - Differential ... calcineurin inhibitors, hepatorenal ... syndrome) • Vascular ... #causes #Acute ... #Diagnosis #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
(AKI) - Differential ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... #Diagnosis #nephrology ... #causes #algorithm
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... osmolarity If cause ... pressure • TTP / HUS ... #Diagnosis #nephrology ... #causes
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Guide to Acute Kidney ... What to ask/look ... #Nephrology #Diagnosis ... #Algorithm #Causes ... #Differential
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 • Tissue injury
 • Hemolysis
 • Rhabdomyolysis
 •
- Differential ... • Tumor lysis syndrome ... glycosides • High acute ... Elimination: • AKI ... blockers - MCW Nephrology
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
(Ischemia) - Acute ... Trauma to Vessel (dislocation ... Marfan's Syndrome ... Vascular #JointPain #MSK ... #Orthopedics #Causes