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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
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... If the patient has ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... Comparison #Algorithm #Nephrology
Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
 • Acquired structural heart disease: CAD, Most
Causes of Sudden ... Channelopathies: Long/short ... QT syndromes, Brugada ... Cardiac #Arrest #cardiology ... differential #diagnosis #causes
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
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Defining the cause ... of hypokalemia starts ... diagnosis #algorithm #causes ... #nephrology #potassium
Cardiorenal Syndrome (CRS) Types
 • Type 1 - Acute CRS: Alteration of renal perfusion is the
Cardiorenal Syndrome ... shifts may be in cause ... #Cardiorenal #Syndrome ... #CRS #Types #cardiology ... #nephrology
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
Insulin Autoimmune Syndrome ... metabolic demand causes ... Measure glucose q6 hrs ... Normally, glucose stores ... Insulin Autoimmune Syndrome
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome ... a delta wave, short ... complex (QRS > ... 120 msec) 3 Short ... WolffParkinsonWhite #WPW #Cardiology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Distributive Shock, HRS ... Abdominal Compartment Syndrome ... Differential #Diagnosis #nephrology ... #causes #algorithm
Hepatorenal Syndrome Treatment
Volume expansion: 
 • Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... #Hepatorenal #Syndrome ... #Treatment #management ... #HRS #nephrology