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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 ... #Syndrome #HRS ... #nephrology
HepatoRenal Syndrome - Pathophysiology

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

#HRS #HepatoRenal #Syndrome #Pathophysiology #Diagnosis
HepatoRenal Syndrome ... 34t5DgJ #HRS #HepatoRenal ... #Syndrome #Pathophysiology ... #Diagnosis #Nephrology ... #AKI
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Varices • Hepatic Encephalopathy ... Hepatopulmonary Syndrome ... (HPS) • Hepatorenal ... Syndrom (HRS) ... Complications #diagnosis #management
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Posterior Reversible ... Encephalopathy ... Syndrome (PRES) ... #Syndrome #Treatment ... #Management #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Posterior Reversible ... Encephalopathy ... Syndrome (PRES) ... #Syndrome #Diagnosis ... #Neurology
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment of Hepatorenal ... Syndrome (HRS) ... 34t5DgJ #HRS #HepatoRenal ... #Syndrome #Nephrology ... #Management #Pharmacology
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
a.k.a. cardiorenal syndrome ... failure (a.k.a. hepatorenal ... syndrome) Intrarenal ... prolonged prerenal AKI ... EricsMedicalLectures/ #AKI
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Bleeding • Hepatic Encephalopathy ... Alcoholic Hepatitis • Hepatorenal ... Syndrome • Prognostication ... diagnosis #treatment #management
Hepatorenal Syndrome Treatment
Volume expansion: 
 • Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... EricsMedicalLectures/ #Hepatorenal ... #Syndrome #Treatment ... #management #HRS ... #nephrology
PRES (Posterior reversible encephalopathy syndrome) - Diagnostic Algorithm

#PRES #Posterior #reversible #encephalopathy #syndrome #Algorithm #Diagnosis #Neurology
PRES (Posterior ... reversible encephalopathy ... syndrome) - Diagnostic ... #syndrome #Algorithm ... #Diagnosis #Neurology