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diagnosis differential hepatology causes treatment aki nephrology hepatitis indications workup chronic cirrhosis classification criticalcare failure hypertension lactate pharmacology table acidosis
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... Abdominal Compartment Syndrome ... SCVMCMed #AKI #Acute ... #Kidney #Injury ... nephrology #causes #algorithm
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... a.k.a. cardiorenal syndrome ... ) • Liver failure ... tract infection • Medications ... #Kidney #Injury
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Albumin for Management ... ascites removed • Acute ... kidney injury ( ... • Hepatorenal syndrome ... #Management #Cirrhosis
Clinical manifestations of acute liver failure Brain: Hepatic encephalopathy, Cerebral edema, Intracranial hypertension,
liver failure ... Seizures Kidney ... abnormalities Liver ... Subclinical myocardial injury ... lung injury,
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... Differential Diagnosis Algorithm ... Liver Injury: ... vein: Budd-chiari syndrome ... Liver Injury:
Causes of Acute Liver Injury - Differential Diagnosis Hepatocellular - Liver Parenchyma • Infectious: Hepatitis C, A,
Liver Injury - Differential ... Toxic: Alcohol, Medication ... obstruction, HELLP Syndrome ... #Injury #Differential ... #algorithm #hepatology
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... • Hepatorenal syndrome ... Treat underlying liver ... #Kidney #Injury
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... Skin involvement, Kidney ... duration), Several medications ... dechallenge • Acute ... #Algorithm #hepatology
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
Outpatient Hypertension Management ... Algorithm Monotherapy ... Coronary Syndrome ... • Acute Kidney ... Injury • Pre-Eclampsia
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
injury < 26 weeks ... cardiac muscle, RBC, Kidney ... Cardiac muscle, Kidneys ... trimester placenta, kidneys ... • Gilbert's syndrome
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