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nephrology differential causes acute aki algorithm treatment hepatology workup indications kidneyinjury liver rheumatology symptoms albumin anesthesia anesthesiology behcet checklist classification
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 ... #Hepatorenal #Syndrome ... #HRS #Management ... #Algorithm #nephrology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... injury: No proteinuria ... #Hepatorenal #Syndrome ... #diagnosis #HRSAKI
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Liver Disease (Cirrhosis ... (HPS) • Hepatorenal ... Syndrom (HRS) ... Complications #diagnosis ... #management #summary
Clinical manifestations of acute liver failure Brain: Hepatic encephalopathy, Cerebral edema, Intracranial hypertension,
Seizures Kidney ... and adrenals: Hepatorenal ... syndrome, Hepatoadrenal ... liver #failure #Signs ... #Symptoms #Diagnosis
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
of Cirrhosis ... removed • Acute kidney ... injury (≥ 1B) - ... antibiotics • Hepatorenal ... syndrome - 1g/
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... failure (a.k.a. hepatorenal ... syndrome) Intrarenal ... vasculitis - TTP/HUS ... #diagnosis #nephrology
Hepatorenal Syndrome Diagnosis • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome ... Diagnosis • ↑ ... (e.g. advanced cirrhosis ... #Syndrome #diagnosis ... #HRS #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... - Differential Diagnosis ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... #Diagnosis #nephrology
Hepatorenal Syndrome - Diagnosis and Management Summary Who gets HRS? • Decompensated cirrhosis • Typically with existing
Hepatorenal Syndrome ... - Diagnosis and ... Decompensated cirrhosis ... #Syndrome #HRS ... #Diagnosis #Management
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... clinical context and signs ... pressure • TTP / HUS ... #Injury #AKI #Workup
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