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HepatoRenal Syndrome - Pathophysiology

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

#HRS #HepatoRenal #Syndrome #Pathophysiology #Diagnosis
HepatoRenal Syndrome ... - Pathophysiology ... amzn.to/34t5DgJ #HRS ... #Pathophysiology ... #AKI
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis
 - Prerenal
 - ATN
 - AIN
 -
Acute Kidney Injury ... (AKI) - Common ... - Nephritic Syndrome ... Urinalysis #diagnosis #table ... #comparison #nephrology
Mechanisms of Cocaine induced AKI

 • Rhabdomyolysis
 • Vasculitis
 • Infarction
 • Acute interstitial nephritis
 •
Cocaine induced AKI ... Infarction • Acute ... Cocaine #induced #AKI ... #nephrology #pathophysiology ... #table
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... Differential #Diagnosis #nephrology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Kidney Injury (AKI ... • Hepatorenal syndromes ... multiple myeloma) • Urate ... Ethylene glycol) TTP/HUS ... #Nephrology #Differential
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... vasculitis - TTP/HUS ... prolonged prerenal AKI ... Classification #diagnosis #nephrology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
disease states Pathophysiology ... Acute CPP Crystal ... Think of the "H's ... Monosodium urate ... • Metabolic syndrome
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... electrolytes, urea ... pressure • TTP / HUS ... • Cardio-renal syndrome ... Differential #Diagnosis #nephrology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
hepatitis, or acute ... Pathophysiology: ... Classification: HRS-AKI ... HRS-Non-AKI (formerly ... #Nephrology #Diagnosis
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
iniury, Compartment syndrome ... Dermatomyositis) AKI ... - Pathophysiology ... output: 200ml/hr ... per day until stable