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Sunday, April 16, 2017

Hepatorenal Syndrome

Prior to diagnosing a patient with consider:

Person does not have reversible causes of AKI such as active urine sediment, shock, toxins, obstruction, protein in the urine more than 500 mg per d, or parenchymal disease.

Trying albumin 1 g per kg per day for 2 days and seeing if there is a response.

If there is an increase in the serum creatinine level to greater than 1.50 g per dl.

Analgesic Nephropathy: radiographic findings

  • Decreased length
  • Papillary calcifications
  • Bumpy renal contours

papillary necrosis

Saturday, April 15, 2017

Newly Diagnosed Hypertension

Salt restriction of 1.5 grams per day can lower the blood pressure on average 7 mm of Hg over 3 mm Hg. This is similar to using a blood pressure medication.

If a patient has an elevated uric acid, consider using an angiotensin receptor blocker. Losartan not only lowers blood pressure but it also has a uricosuric effect. HCTZ, on the other hand, will increase the uric acid level.

When beta blockers are compared with angiotensin receptor blockers, for initial therapy, beta blockers are noted to have higher cardiovascular-related events and mortality compared with angiotensin receptor blockers.


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Saturday, March 25, 2017