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AKI in Cirrhosis - Hepatorenal Syndrome Management Algorithm

DOI: 10.1136/bmj.m2687

#AKI #Cirrhosis #Hepatorenal #Syndrome #HRS #Management #Algorithm #nephrology
in Cirrhosis - Hepatorenal ... Syndrome Management ... #Syndrome #HRS ... #Management #Algorithm ... #nephrology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Varices • Hepatic Encephalopathy ... Hepatopulmonary Syndrome ... (HPS) • Hepatorenal ... Syndrom (HRS) ... Complications #diagnosis #management
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Wernicke Encephalopathy ... Diagnosis and Management ... development of Korsakoff syndrome ... #Diagnosis #Management ... #neurology #nutrition
Wernicke's Encephalopathy vs Korsakoff Syndrome - Thiamine Deficiency

Wernicke's encephalopathy is a neurological condition due to longstanding
vs Korsakoff Syndrome ... - Thiamine Deficiency ... is Korsakoff's syndrome ... #Korsakoff #Syndrome ... diagnosis #comparison #neurology
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment of Hepatorenal ... Syndrome (HRS) ... edgarvlermamd - Nephrology ... #Syndrome #Nephrology ... #Management #Pharmacology
Korsakoff Syndrome
Clinical Findings:
 • Confabulation: Usually initial phase of the disease
 • Anterograde amnesia: Memory impairment
Korsakoff Syndrome ... presentation of Thiamine deficiency ... untreated Wernicke Encephalopathy ... factors of Wernicke Encephalopathy ... #neurology #diagnosis
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
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Posterior Reversible Encephalopathy ... Syndrome (PRES) ... Posterior #Reversible #Encephalopathy ... #Syndrome #Treatment ... #Management #Neurology
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
Wernicke Encephalopathy ... - Triad Encephalopathy ... #Syndrome #Triad ... #Diagnosis #Neurology ... #Thiamine #Deficiency