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Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... Algorithm Ascites Management ... Hepatic Hydrothorax AKI ... Cirrhosis, HRS-AKI ... #gastroenterology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Prerenal:
 • Due to true volume loss or decreased
Kidney Injury (AKI ... the glomeruli, tubules ... • ATN (Acute tubular ... Kidney #Injury #AKI
Causes of acute kidney injury (AKI). AKI is classified into pre-renal, renal, and post-renal causes. Renal
kidney injury (AKI ... AKI is classified ... Renal causes of AKI ... supply; glomerular, tubular ... #Diagnosis #AKI
Causes of Acute Kidney Injury - Differential Diagnosis Framework 
Pre-Renal
Post-Renal
Intrinsic Renal:
 • Tubules (ATN)
 • Glomerular:
Intrinsic Renal: • Tubules ... drtonydang @CMC_IM #AKI
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 • Hypovolemia
 • Congestion
 • Medications
 •
Kidney Injury (AKI ... Framework PRE-Renal AKI ... INTRA-Renal AKI ... , Anti-GBM • Tubular ... POST-Renal AKI
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
sensitive) • AKI ... , AKD, rapidly progressive ... hematuria, mild tubular
Kidney Syndromes - A Guide to Compartmentalize the Etiologies of Kidney Disease
1) Tubule and interstitium
2) Vasculature
3)
Kidney Disease 1) Tubule ... Failure #Injury #AKI
Acute Kidney Injury (AKI) in Patients with Cancer 

Cancer Related 
• Hypercalcemia 
• Intravenous contrast 
•
Kidney Injury (AKI ... syndrome • Proximal tubular ... bevacizumab (VEGFi), TKi ... Kidney #Injury #AKI
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
urinalysis, labs - Management ... casts on UA) - Tubular ... (renal tubular ... renal biopsy - Management ... Kidney #Injury #AKI
Proximal Renal Tubular Acidosis (RTA) Ttype 2 Overview

HCO3 reabsorptive failure
Lowering of threshold for HCO3 absorption in
Proximal Renal Tubular ... absorption in proximal tubule ... Proximal #Diagnosis #Management