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Hepatorenal Syndrome

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edwinchowyw
edwinchowyw

Dr Wong KW Sabah Malaysia

Gesundheit & Medizin
1 von 47
Hepatorenal Syndrome Wong KW
Historical notes ,[object Object],[object Object],[object Object]
Historical notes ,[object Object],[object Object],[object Object],[object Object]
Historical notes ,[object Object],[object Object]
Pseudohepatorenal syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definition ,[object Object],[object Object]
Definition ,[object Object],[object Object]
Pathogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis Proposed pathogenesis of hepatorenal syndrome in cirrhosis according to the arterial vasodilation theory
Pathogenesis
Vasodilatation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis
Adaptive response to  EABV ,[object Object],[object Object],[object Object],[object Object]
Pathogenesis
Cardiac dysfunction ,[object Object],[object Object],[object Object]
Cardiac dysfunction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis ,[object Object],[object Object],[object Object],[object Object]
Renal vasoconstriction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Vasoactive factors
Renal vasoconstriction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endothelin ,[object Object],[object Object],[object Object],[object Object]
Precipitating factors ,[object Object],[object Object],[object Object]
Precipitating factors
Incidence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Predicting factors ,[object Object],[object Object],[object Object],[object Object]
Predicting factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
International Ascites Club
General measures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapeutic options RRT
Pharmacological ,[object Object],[object Object],[object Object]
Vasopressin analogues ,[object Object],[object Object],[object Object],[object Object]
Terlipressin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other combinations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transjugular intrahepatic portosystemic shunt ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TIPS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RRT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Which modality? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CRRT Vs HD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MARS ,[object Object],[object Object],[object Object],[object Object]
MARS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Liver transplantation ,[object Object],[object Object],[object Object],[object Object]
Liver transplantation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Hepatorenal Syndrome

Hinweis der Redaktion

  1. Patients with cirrhosis and ascites often develop a particular form of renal failure known as hepatorenal syndrome (HRS), which is due to a vasoconstriction of the renal circulation (1). The histologic appearance of the kidneys in HRS is normal, and the kidneys regain a normal or near-normal function after liver transplantation. Both findings demonstrate the functional nature of HRS. Besides changes in renal function, patients with HRS also show marked abnormalities in the systemic arterial circulation and activity of endogenous vasoactive systems, which probably play a major role in the development of renal hypoperfusion.