Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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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 ... amzn.to/34t5DgJ #HRS ... #HepatoRenal #Syndrome ... Pathophysiology #Diagnosis ... #Nephrology #AKI
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 β€’ ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... Criteria HRS-AKI ... haematuria, Normal renal ... #Hepatorenal #Syndrome
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal ... Syndrome (HRS) ... pressure incr renal ... #HepatoRenal #Syndrome
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... ) - Differential ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... #Diagnosis #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential ... calcineurin inhibitors, hepatorenal ... syndrome) β€’ Vascular ... #Diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Diagnosis Baseline ... Abdominal compartment syndrome ... pressure β€’ TTP / HUS ... syndrome: troponin ... #Diagnosis #nephrology
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
failure (a.k.a. hepatorenal ... syndrome) Intrarenal ... vasculitis - TTP/HUS ... Classification #diagnosis ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm ... β€’ Drugs β€’ Pulmonary ... GI losses β€’ Renal ... β€’ Reduced GFR, AKI ... #Hyponatremia #Nephrology
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
General approach to AKI ... FENa) could help differentiate ... between pre-renal ... performance for diagnosing ... AcuteKidneyInjury #Nephrology
Hepatorenal Syndrome Diagnosis
 β€’ ↑ in serum Cr of β‰₯ 0.3mg/dL above baseline
Hepatorenal Syndrome ... Diagnosis β€’ ↑ ... significantly improve renal ... #Syndrome #diagnosis ... #HRS #nephrology