Podcasts · The Curbsiders Internal Medicine Podcast
REBOOT #145 Hepatorenal Syndrome
· 1 h 09 min
Episode REBOOT #145 Hepatorenal Syndrome
Tackle the complex pathophysiology, diagnosis, and management of hepatorenal syndrome in this Curbsiders classic from #NephMadness 2019 featuring @kidney_boy Joel Topf, HRS expert Juan Carlos Velez (@veleznephhepato), and self-proclaimed most-handsome-nephrologist Bill Whittier (@TWhittier_RUSH) episode! Topics: hepatorenal physiology, renal ultrasound, urine electrolytes, terlipressin, norepinephrine, midodrine and octreotide, albumin challenge, crystalloids vs colloids, and more! Original show notes here.
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Credits
• Written and produced by: Justin Berk MD, Nora Taranto MD • Infographic by: Alex M @nephroguy • Host: Matthew Watto MD • Edited by: Matthew Watto MD (audio), Emi Okamoto MD (written materials) • Guests: Joel Topf MD, Juan Carlos Velez MD, Bill Whittier MD
Show Segments
• NephMadness Kidney Pun Contest • Disclaimer • Intro, guest one-liners • Case of acute kidney injury in a patient with cirrhosis • Initial differential diagnosis and approach to newly elevated creatinine in cirrhosis (urinalysis, FeNa, urine sodium) • History and physical in cirrhosis and AKI • Fluid choice • Diuretic therapy in cirrhosis and volume overload • Is a Renal Ultrasound useful in AKI? • Recap: the initial approach to AKI in cirrhosis • Therapeutic trials when volume status is uncertain • Hepatorenal physiology revisited • Vasoconstrictor therapy with octreotide, terlipressin, or norepinephrine • Type 1 versus type 2 hepatorenal syndrome • Large-volume paracentesis (LVP) in cirrhosis with AKI; how much fluid to remove; use of diuretics or LVP in patients on norepinephrine?! • Diagnostic criteria or HRS • NephMadness matchups including bile cast nephropathy • Outro
Sponsors
• Grammarly. Visit grammarly.com/curb for 20% off. • Panacea Financial. Visit panaceafinancial.com a bank for doctors, by doctors.
Links in the notes 10
- https://twitter.com/kidney_boy/
- https://twitter.com/veleznephhepato?lang=en
- https://twitter.com/twhittier_rush?lang=en
- https://thecurbsiders.com/podcast/145-nephmadness-hepatorenal-syndrome
- https://anchor.fm/s/4108bcf4/podcast/rss
- https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67
- https://www.teepublic.com/user/kashlakmemorial
- https://thecurbsiders.com/top-picks
- https://thecurbsiders.com/knowledgefood
- https://twitter.com/nephroguy
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