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diagnosis hepatology management acute causes nephrology aki algorithm oncology activation albumin bariatric bypass chemistry cirrhosis classification complications diuresis diuretics emergencies
Acute Kidney Injury (AKI) in Patients with Cancer Cancer Related • Hypercalcemia • Intravenous contrast •
Acute Kidney Injury ... change disease • Hematologic ... malignancies Treatment ... #Injury #AKI #Cancer ... #Oncology #Differential
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... - Differential ... vein: Budd-chiari syndrome ... • Gilbert's syndrome ... #differential #
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
removed • Acute kidney ... injury (≥ 1B) - ... • Hepatorenal syndrome ... Management #Cirrhosis #treatment ... #hepatology
Causes of Acute Liver Injury - Differential Diagnosis Hepatocellular - Liver Parenchyma • Infectious: Hepatitis C, A,
Injury - Differential ... obstruction, HELLP Syndrome ... Pancreatic Pseudocyst, Cancer ... #Injury #Differential ... Acute #algorithm #hepatology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
heart failure, liver ... • Hyponatremia ... • Nephrogenic ... Tolvaptan) • Treatment ... and euvolemic hyponatremia
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
cardiac muscle, RBC, Kidney ... Cardiac muscle, Kidneys ... • Gilbert's syndrome ... chemistry #diagnosis #differential ... #Hepatology #transaminitis
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... • Hepatorenal syndrome ... Treat underlying liver ... ureteral stent(s) • Neurogenic ... #Injury #treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... - Compartment syndrome ... Hyperuricemia • Hyponatremia ... nephrotoxicity to kidney ... Rhabdomyolysis #Differential
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
Emergencies - Differential ... Diagnosis Framework HEMATOLOGIC ... • Early death Neutropenic ... coma SIADH: • Hyponatremia ... #diagnosis #cancer
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Heat Stroke - Differential ... conditions - Neurogenic ... sweat Heat Injury ... heat illness → Hypernatremia ... involvement: Muscles, Kidneys
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