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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 ... 10.1136/bmj.m2687 #AKI ... #nephrology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... Disease (Cirrhosis ... Syndrome (HPS) • Hepatorenal ... SBP) #ESLD #Liver ... management #summary #hepatology
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
cardiorenal syndrome) • Liver ... failure (a.k.a. hepatorenal ... prolonged prerenal AKI ... EricsMedicalLectures/ #AKI ... Classification #diagnosis #nephrology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
Hepatorenal Syndrome ... Diagnostic Criteria HRS-AKI ... cause of kidney disease ... cause of kidney disease ... HRSAKI #HRSNAKI #hepatology
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Ascites Workup Algorithm ... Hepatic Hydrothorax AKI ... Cirrhosis, HRS-AKI ... diagnosis #management #gastroenterology ... #hepatology
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Kidney Injury (AKI ... - TTE/liver fxn? ... - Pre-renal disease ... #Nephrology #Diagnosis ... #Algorithm #Causes
Diagnosis and Management of Idiosyncratic Drug-induced Liver Injury (DILI)

DILI Types:
 • Intrinsic - predictable, dose dependent
or symptoms of liver ... disease 6-9 mo ... Diagnosis #Management #gastroenterology ... #algorithm #gastroenterology ... #hepatology
Liver Mass - Differential Diagnosis Algorithm
Benign Cystic 
 • Cyst
 • Polycystic Liver Disease
 • Caroli's
Liver Mass - Differential ... Diagnosis Algorithm ... Disease • Caroli's ... #Mass #Hepatology ... Differential #Diagnosis #Algorithm
Liver Mass - Differential Diagnosis Algorithm
Cystic:
 • Benign 
     - Simple: Simple
Liver Mass - Differential ... Diagnosis Algorithm ... Disease, Caroli's ... Differential #Diagnosis #Algorithm ... #Causes #Hepatology
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... Focus on prior Liver ... disease work up ... Calling #Referral #Hepatology ... #Gastroenterology