8 results
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... Circulation Failure Kidney ... Drug-Induced Liver Injury ... #Acute #Chronic ... #Hepatology #gastroenterology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... ascites removed • Acute ... kidney injury ( ... #hepatology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
Criteria HRS-AKI (Acute ... injury: No proteinuria ... HRS-NAKI (Non-Acute ... - No other cause ... HRSAKI #HRSNAKI #hepatology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Failure (ALF ... to synthesis - rises ... hepatitis: < 1 • Cirrhosis ... Cardiac muscle, Kidneys ... #differential #Hepatology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... Algorithm Vascular Causes ... Due to synthesis rises ... hepatitis: < 1 • Cirrhosis ... diagnosis #algorithm #hepatology
Scleroderma Renal Crisis (SRC)

Clinical Presentation of Scleroderma Renal Crisis:
1) Acute kidney injury
2) Abrupt onset of hypertension
3)
: 1) Acute kidney ... injury 2) Abrupt ... endothelial cell injury ... • Refractory cases ... #rheumatology #nephrology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
liver disease: cirrhosis ... hepatitis, or acute ... IV albumin (1 g/kg ... Hepatorenal #Syndrome #Hepatology ... #Nephrology #Diagnosis
Alcoholic Hepatitis - Management Algorithm
Assess Eligibility for Treatment:
 - Maddrey Discriminant Function ≥ (or possibly MELD
exclude other causes ... Treatment: - Acute ... kidney injury with ... goal of >21 kcal/kg ... #Algorithm #hepatology