Discover and read the best of Twitter Threads about #hepatorenal
Most recents (3)
JC @VelezNephHepato blows up the IAC criteria for defining #Hepatorenal syndrome
Really impractical and not useful
#ApExPathshala
Really impractical and not useful
#ApExPathshala
Interestingly enough, norepinephrine is possibly very similar to Terlipressin in hepatorenal syndrome as long as the MAP goes up (which is key!) @VelezNephHepato at
#ApExPathshala
#ApExPathshala
Don’t miss abdominal compartment syndrome
@VelezNephHepato dates himself by mentioning this entity didn’t exist when he went to med school (neither for me 👴🏻
#ApExPathshala
@VelezNephHepato dates himself by mentioning this entity didn’t exist when he went to med school (neither for me 👴🏻
#ApExPathshala
#POCUS #echofirst #MedEd case of the day.
Context: alcoholic liver cirrhosis with suspected #hepatorenal syndrome
Purpose: think about the underlying pathophysiology & seek expert input
1/ PLAX, PSAX, Apical views of the heart. Heart rate ~110-116 bpm
#VExUS images in 🧵
Context: alcoholic liver cirrhosis with suspected #hepatorenal syndrome
Purpose: think about the underlying pathophysiology & seek expert input
1/ PLAX, PSAX, Apical views of the heart. Heart rate ~110-116 bpm
#VExUS images in 🧵
2/ overall, looks hyperdynamic. LA looks little enlarged on PLAX, visual TAPSE high on apical.
In cirrhosis, hyperdynamic circulation is expected because of splanchnic vasodilatation and 'relative' arterial under filling.
LV EF #POCUS obtained using @kosmosplatform 👇
In cirrhosis, hyperdynamic circulation is expected because of splanchnic vasodilatation and 'relative' arterial under filling.
LV EF #POCUS obtained using @kosmosplatform 👇
Acute on Chronic Liver Failure ca. 2020 from @NEJM #Hepatorenal #Nephpearls
nejm.org/doi/full/10.10…
nejm.org/doi/full/10.10…
CONFIRM: In this trial involving adults w/ cirrhosis and HRS-1, terlipressin was more effective than placebo in improving renal function but was associated with serious adverse events, including respiratory failure (ca. 2021) #Hepatorenal #Nephpearls
nejm.org/doi/full/10.10…
nejm.org/doi/full/10.10…
