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diagnosis differential hepatology nephrology aki algorithm causes management radiology visualabstract lfts transaminitis treatment trial criticalcare early failure indications laboratory rrt
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... those with CLD (± cirrhosis ... Circulation Failure Kidney ... Injury (DILI) ... #Failure #Cirrhosis
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... Liver Injury: ... Liver Injury: ... HBV, HCV, HEV, EBV ... hepatitis: < 1 • Cirrhosis
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Management of Cirrhosis ... ) - 8g per liter ... ascites removed • Acute ... kidney injury ( ... Indications #Management #Cirrhosis
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
injury < 26 weeks ... hepatitis: < 1 • Cirrhosis ... cardiac muscle, RBC, Kidney ... Cardiac muscle, Kidneys ... trimester placenta, kidneys
Causes of acute kidney injury (AKI). AKI is classified into pre-renal, renal, and post-renal causes. Renal
Causes of acute ... kidney injury (AKI ... GBM, Glomerular ... Diagnosis #AKI #Acute ... #Kidney #Injury
Clinical manifestations of acute liver failure Brain: Hepatic encephalopathy, Cerebral edema, Intracranial hypertension,
liver failure ... Seizures Kidney ... abnormalities Liver ... Subclinical myocardial injury ... lung injury,
Patterns of Liver Injury Transaminase Levels: > 50x normal - Ischemic Hepatitis > 20x normal
Patterns of Liver ... Injury Transaminase ... > 20x normal - Acute ... normal - Infection (EBV ... CMV), Alcoholic cirrhosis
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... cardiorenal syndrome) • Liver ... disease - Acute ... prerenal AKI) - Acute ... #Kidney #Injury
Acute Kidney Injury (AKI) - Differential Diagnosis Framework PRE-Renal AKI: • Hypovolemia • Congestion • Medications •
Acute Kidney Injury ... disease, Anti-GBM ... ASanchez_PS #AKI #Acute ... #Kidney #Injury
IDEAL-ICUTrial - Visual Abstract Is there an ideal time to start Renal Replacement Therapy (RRT) in patients
patients with Acute ... Kidney Injury ( ... who had severe Acute ... Kidney Injury, ... VisualAbstract #Nephrology #EBM
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