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AKI in Cirrhosis - Hepatorenal Syndrome Management Algorithm

DOI: 10.1136/bmj.m2687

#AKI #Cirrhosis #Hepatorenal #Syndrome #HRS #Management #Algorithm #nephrology
in Cirrhosis - Hepatorenal ... Syndrome Management ... #Syndrome #HRS ... #Management #Algorithm ... #nephrology
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment of Hepatorenal ... Syndrome (HRS) ... edgarvlermamd - Nephrology ... #Syndrome #Nephrology ... #Management #Pharmacology
Hepatorenal Syndrome Treatment
Volume expansion: 
 • Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... EricsMedicalLectures/ #Hepatorenal ... #Syndrome #Treatment ... #management #HRS ... #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Kidney Injury AKI - Differential ... calcineurin inhibitors, hepatorenal ... syndrome) • Vascular ... #KidneyInjury #Differential ... #Diagnosis #nephrology
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Acute Kidney Injury ... a.k.a. cardiorenal syndrome ... failure (a.k.a. hepatorenal ... syndrome) Intrarenal ... Classification #diagnosis #nephrology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Injury (AKI) - Differential ... Hypoperfusion • Hepatorenal ... syndromes • Drugs ... #KidneyInjury #Nephrology ... #Differential #
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Prerenal:
 • Due to true volume loss or decreased
Acute Kidney Injury ... (AKI) - Differential ... : cardiorenal, hepatorenal ... #Injury #AKI #Differential ... #Diagnosis #nephrology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... ascites removed • Acute ... antibiotics • Hepatorenal ... syndrome - 1g/ ... #Indications #Management
Bilateral Lower Extremity Swelling - Differential Diagnosis Framework
Acute:
 • DVT *Can't Miss Diagnosis
 • Medication Side
Extremity Swelling - Differential ... Diagnosis Framework Acute ... Side Effect • Acute ... • Nephrotic Syndrome ... Brianna Valdes @
Unilateral / Asymmetric Lower Extremity Swelling - Differential Diagnosis Framework
Acute:
 • DVT *Can't Miss Diagnosis
 •
Extremity Swelling - Differential ... Diagnosis Framework Acute ... Regional Pain Syndrome ... Brianna Valdes @ ... Extremity #Swelling #Differential