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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 ... #Hepatorenal #Syndrome ... #Algorithm #nephrology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Liver Disease (Cirrhosis ... (HPS) • Hepatorenal ... Syndrom (HRS) ... Complications #diagnosis ... #management #summary
HepatoRenal Syndrome - Pathophysiology

Dr. Edgar V. Lerma @edgarvlermamd - Nephrology Secrets https://amzn.to/34t5DgJ

#HRS #HepatoRenal #Syndrome #Pathophysiology #Diagnosis
HepatoRenal Syndrome ... edgarvlermamd - Nephrology ... 34t5DgJ #HRS #HepatoRenal ... #Syndrome #Pathophysiology ... #Diagnosis #Nephrology
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Alcoholic Hepatitis • Hepatorenal ... Syndrome • Prognostication ... #diagnosis #treatment ... #management
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment of Hepatorenal ... Syndrome (HRS) ... 34t5DgJ #HRS #HepatoRenal ... #Syndrome #Nephrology ... #Management #Pharmacology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... antibiotics • Hepatorenal ... syndrome - 1g/ ... #Cirrhosis #treatment
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome ... Diagnosis • ↑ ... (e.g. advanced cirrhosis ... #Syndrome #diagnosis ... #HRS #nephrology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... in 3 months • Cirrhosis ... drkeithsiau #HRS #Hepatorenal ... #Syndrome #diagnosis
Complications of Portal Hypertension
 • Hepatic Encephalopathy
 • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 •
Hepatopulmonary syndrome ... hydrothorax • Cirrhotic ... Pancytopenia • Renal: Hepatorenal ... syndrome • Ascites ... Complications #hepatology #diagnosis
Infographic: Compartment Syndrome #Diagnosis #Managment #Ortho #Compartment #Syndrome #CompartmentSyndrome #FIVEPs #Overview #ALiEM
Infographic: Compartment Syndrome ... #Diagnosis #Managment ... #Ortho #Compartment ... #Syndrome #CompartmentSyndrome