9 results
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
- Classification ... cardiorenal syndrome) • Liver ... causes: sepsis, meds ... prolonged prerenal AKI ... #diagnosis #nephrology
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... (AKI) - Management ... Treat underlying liver ... Medications → Stop meds ... #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Insufficiency, Liver ... #criticalcare # ... algorithm #treatment ... #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
anaphylaxis, toxins/meds ... • Other: AI, ... thyroid dz liver ... #diagnosis #management ... #Overview #criticalcare
5-Oxoprolinuria
What is it:
 • Aka pyroglutamic acidosis, Intermediate in γ-glutamyl cycle
 • Amino acid transport and
What is it: • Aka ... • Concomitant acute ... deficiency) • Liver ... HAGMA; Paracetamol level ... #management #treatment
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
anaphylaxis, toxins/meds ... • Other: AI, ... thyroid dz liver ... #diagnosis #management ... #Overview #criticalcare
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
stores in the liver ... beta-oxidation in the liver ... #diagnosis #differential ... #algorithm #management ... #treatment #criticalcare
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Occurs in advanced liver ... liver failure ... • Definitive: Liver ... Treat underlying liver ... • Urgent liver
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
- Ferritin, liver ... suspected Adiunctive treatments ... ml/min without AKI ... Influenza #Checklist #Management ... #CriticalCare