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AKI in Cirrhosis - Hepatorenal Syndrome Management Algorithm

DOI: 10.1136/bmj.m2687

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

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
of Hepatorenal Syndrome ... (HRS) Midodrine ... amzn.to/34t5DgJ #HRS ... #HepatoRenal #Syndrome ... #Nephrology #Management
Hepatorenal Syndrome Treatment
Volume expansion: 
 • Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... #Hepatorenal #Syndrome ... #Treatment #management ... #HRS #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... within first 2-6 hrs ... Encephalopathy #Syndrome ... #Treatment #Management ... #Neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... patient to fix his ... Supports the patient ... DixHallpike #Maneuver #BPPV ... Instructions #Diagnosis #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... patient rolls onto his ... Epley #Maneuver #BPPV ... positional #vertigo #neurology ... #physicalexam #management
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
correction of 0.5-1 mEq/hr ... Demyelination Syndrome ... Correction #goal #rate #management ... #nephrology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... • Weakness: Starts ... Miller Fisher Syndrome ... #diagnosis #management ... #treatment #neurology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Total scores >2 ... the ICU due to short ... Propofol infusion syndrome ... x > 6 hrs) can ... CriticalCare #diagnosis #management
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
positional vertigo (BPPV ... ) - Short-lived ... (Wallenberg's syndrome ... Syndrome usually ... differential #diagnosis #neurology