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AKI in Cirrhosis - Hepatorenal Syndrome Management Algorithm

DOI: 10.1136/bmj.m2687

#AKI #Cirrhosis #Hepatorenal #Syndrome #HRS #Management #Algorithm #nephrology
AKI in Cirrhosis ... - Hepatorenal Syndrome ... Management Algorithm ... #HRS #Management ... #Algorithm #nephrology
Algorithm for the management of children with nephrotic syndrome and steroid resistant nephrotic syndrome (SRNS)

#nephrotic #syndrome
Algorithm for the management ... with nephrotic syndrome ... #nephrotic #syndrome ... steroid #resistant #nephrology ... #peds #pediatrics
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... causes: sepsis, meds ... prolonged prerenal AKI ... EricsMedicalLectures/ #AKI
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... titratable IV meds ... Encephalopathy #Syndrome ... #Treatment #Management ... #Neurology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
people with sepsis, AKI ... REMOVE UNECCESARY MEDS ... improved survival in AKI ... Fluid #Balance #management ... #criticalcare
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... declines > ALT) • AKI ... + myoglobin AKI ... Differential #Diagnosis #Management ... causes #treatment #nephrology
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Kidney Injury (AKI ... ) - Management Principles ... • Hepatorenal syndrome ... Medications → Stop meds ... EricsMedicalLectures/ #AKI
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI ... esp in work-up/management ... miss MDR bugs) MEDS ... overdose of home meds ... diagnosis #workup #criticalcare
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Encephalopathy Syndrome ... may precede the neurologic ... Seizures: Treat with AEDs ... #diagnosis #management ... #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
thyroid, Sjogren syndrome ... “dropping head syndrome ... immunosuppressants - Meds ... Gravis #diagnosis #management ... #neurology