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aki hepatology injury syndrome aclf acutekidneyinjury causes chronic cirrhosis ckd differential dili diuresis diuretics druginduced encephalopathy excretion failure gastroenterology hemodialysis
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... - Classification ... cardiorenal syndrome) • Liver ... causes: sepsis, meds ... #diagnosis #nephrology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Liver Failure ( ... months without treatment ... disease, liver ... Circulation Failure Kidney ... #diagnosis
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... Skin involvement, Kidney ... Alcohol-related liver ... dechallenge • Acute ... #DrugInduced #Liver
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... heart failure, liver ... heart failure, liver ... heart failure, liver ... heart failure, liver
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... - TTE/liver fxn? ... AcuteKidneyInjury #AKI #Nephrology ... #Diagnosis #Algorithm
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... Treat underlying liver ... Medications → Stop meds ... #treatment #management
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
syndrome, ADEM, Acute ... elevated protein level ... persistent altered level ... epilepticus Treatment ... #management #neurology
Management of Pruritus in Patients with Chronic Kidney Disease Pruritus with no primary lesions - differential diagnosis:
Patients with Chronic Kidney ... - differential diagnosis ... pruritus • Liver ... #Pruritus #Treatment ... #Nephrology #CKD
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