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Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... Refractory Ascites Hyponatremia ... Hepatic Hydrothorax AKI ... Cirrhosis, HRS-AKI ... gastroenterology #hepatology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... ≥100): SIADH, Renal ... deficiency, Post-AKI ... Losses (AKI, Post-AKI ... table #sodium #nephrology
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Urine Na/K/Cl ... protein/Cr - Renal ... - 45% - Pre-renal ... mostly ATN and pre-renal ... #Nephrology #Diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... GI losses • Renal ... • Reduced GFR, AKI ... osmole intake #Hyponatremia ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... GI losses • Renal ... • Reduced GFR, AKI ... osmole intake #Hyponatremia ... #Nephrology #Differential
Acute Kidney Injury (AKI) in Patients with Cancer 

Cancer Related 
• Hypercalcemia 
• Intravenous contrast 
•
Kidney Injury (AKI ... gammopathy of renal ... change disease • Hematologic ... Kidney #Injury #AKI ... Classification #Nephrology
NSAIDS and their effects on the Kidney - Pathophysiology

Arachidonic Acid metabolites into alternative pathways that modify
distal nephron: Hyponatremia ... and decreased renal ... blood flow: Pre renal ... AKI Idiosyncratic ... KidneyDisease #nephrology
The Urine / Plasma Electrolyte Ratio - Guide to Fluid Restriction in Hyponatremia
 • U/P Ratio
Restriction in Hyponatremia ... 1 → FR < 1000 mL ... #Restriction #Hyponatremia ... #diagnosis #management ... #nephrology
Hypernatremia Classification and Features According to Volume Status
 - Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,
Hypernatremia Classification ... - Hypervolemic hypernatremia ... Hypodipsia - Renal ... Features #Diagnosis #Comparison ... #Table #Nephrology
Renal involvement in 35% of mixed cryoglobulinemia vasculitis 
Associated with : 
 • Absence of skin
Renal involvement ... TerrierBen #Renal ... Cryoglobulinemia #Vasculitis #Management ... #Rheumatology # ... Cryoglobulinemic #Nephrology