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#CHHAPRA #LOK #SABHA #CONSTITUENCY
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#SOCIETY #FOR #PROTECTION OF #THE #HARBOUR
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#HEPATORENAL #SYNDROME
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Honored to have @juancarlosqvelez.bsky.social visiting KU Nephrology and the Jared Grantham Kidney Institute.

Fantastic lecture on #hepatorenal syndrome (of course)👏

Lots of practical recommendations backed up by research conducted by Dr. Velez at @ochsnerhealth.bsky.social

Protective effect of Helicteres isora, an efficient candidate on hepatorenal toxicity and management of diabetes in animal models Diabetes is a metabolic disorder of the carbohydrate pathway, resulting in high blood glucose levels, an increase in thirst as well as urination, problems in vision, weight loss, and high ketone body…

#HelicteresIsora extracts show strong #Antidiabetic and #hepatorenal protective effects in alloxan- and #paracetamol-induced animal models, effectively normalizing #glucose, creatinine, and liver enzyme levels.

#OpenAccess in Open Chemistry:

🥩🫘#HRS-AKI is more pre-renal than pre-renal AKI!🤯

Check out this mind-bending FENa table in cirrhosis-related AKI from a must-read #ICU review

🔑note: FENa is helpful—but don’t overtrust it alone!

🔗 doi.org/10.1177/0885... 🆕

#Nephrology #MedEd #AKI #Hepatology #Cirrhosis #NephSky #Hepatorenal

Hepatorenal Syndrome (HRS): Definition, Pathophysiology, Diagnosis, Classification (HRS-AKI, HRS-Non-AKI), Diagnostic Support, Treatment, Prognosis.
#Post178
#HRS #Hepatorenal #vikaasllc #vikashmishra #Syndrome #Hepatology #Nephrology #Diagnosis #medical

Wrapping an awesome visit to UAB. Highlights: connecting with old friends, meeting nice and talented people, attending the Tinsley Harrison lecture, and of course, a chance to talk about #hepatorenal syndrome

Airport bound ✈️. Looking forward to this 💪💪 #hepatorenal #renalfellows

Had a blast visiting @YaleNephrology Had a chance to present, meet super talented @fperrywilson in person, reconnect with the one-and-only #UrineMicroscopy reviver Narins @ASNKidney awardee Mark Perazella, hosted by #Hepatorenal expert @jmbnephdoc And got to c the Cushing museum!

@vipvargh at the podium at #SRM2023 @ssciweb presenting his work on diagnostic utility of #UrinarySediment in AKI in ESLD @HrsHarmony @UROCUP1 #hepatorenal. HRS were converted to ATI when MBGC were present (despite low U Na)

The number of criteria needed to diagnose a disease is inversely proportional to the certainty with which that diagnosis is made @sargsyanz #hepatorenal @HrsHarmony

Do you ever wonder how come vasoconstrictors revert renal vasoconstriction in #hepatorenal syndrome? Found it counterintuitive? Here is a 30 sec animation:

After frantic/tumultuous last couple of days of finalizing #KidneyWk abstract submissions at @OchsnerNephro, it’s time to sit back and enjoy reading a paper on my favorite topic written by iconic figures #Hepatorenal #HRS @HrsHarmony

Bilirubin crystal under polarized light, bright field, dark field and phase contrast illumination. #UrinarySediment of a pt of ⁦@SwethaKanduriMD⁩ w/#AKI, ESLD, T Bili 42; #hepatorenal #HRS-1 under consideration. ⁦@HrsHarmony⁩ #cirrhosis ⁦#MedEd

Renal tubular epithelial cell cast in the #UrinarySediment, SM/bili-stained. #ACLF #AKI case of ⁦@MunerMohamed1⁩ ⁦@OchsnerNephro⁩ urine Na 48. very unlikely #hepatorenal ⁦@HrsHarmony⁩

Love seeing the complexity of #UrinarySediment microscopy in HRS #hepatorenal highlighted by Justin Belcher #KidneyWk

Bilirubin-stained/SM-stained cracked waxy cast with shedded renal tubular cells in the vicinity (below). ACLF, T bili 59, Serum Na 146, urine Na 103. Not #hepatorenal AKI. ⁦@TJ_Wickman⁩ #UrinarySediment #PisseProphet ⁦@OchsnerNephro⁩

It’s always very gratifying to hear from a former fellow blissfully sharing a success story rooted on training received from us. Raising the MAP in #hepatorenal syndrome is firmly advocated in our program. In this case, MAP ⬆️from 69 to 94 and Cr ⬇️from 7.2 to 3.6. @OchsnerNephro

Numerous acanthocytes inspected by bright field vs phase contrast microscopy in a #UrinarySediment from a pt with AKI, proteinuria, low C3/C4, ESLD and remote HBV. Clearly NOT #hepatorenal #PisseProphet @OchsnerNephro @OchsnerIMRes

Getting ready to take a 2-hr mental break from #COVID19 in support of #NKFClinicals #SCM2020 @nkf to moderate a session. Topic? U guessed correctly: #hepatorenal

1/ Patient with cirrhosis and worsening #AKI c/w #hepatorenal syndrome (HRS-1), not responding to midodrine/octreotide. Starts norepinephrine, MAP pushed up from 65-75 to 85-90...

Dobutamine reverses the cardio-suppressive effects of ter... Acute kidney injury and hepatorenal syndrome (HRS) are fr...

Another prospective study where dobutamine fails to show renal benefit, this time in a #hepatorenal setting @scoca1 has a point, I guess 😏 www.ncbi.nlm.nih.gov/m/pubmed/31841026/

The results of the CONFIRM trial testing #terlipressin for #HRS were presented at the #LiverMtg19 this week.
COI: CONFIRM investigator, consultant for Mallinckrodt #hepatorenal #AKI

From #KidneyWk to #LiverMtg19 in Boston #hepatorenal Pivotal results of CONFIRM to be presented

Reduction of cortical renal blood flow is apparent in cirrhotic CBDL rats #hepatorenal #KidneyWk

Luis Juncos making an argument for a more complex unique pathogenesis in #AKI and cirrhosis than the standard #hepatorenal physiology paradigm #KidneyWk

@RegnerNephAKI takes the podium to lead us through the “#hepatorenal rollercoaster” highlighting critical aspects that patients face with this challenging medical condition @nkf @liverUSA #AKI

Calling #hepatorenal gurus @ebtapper @nllatt @RegnerNephAKI and medical terminology connoisseurs @NephRodby @Nephro_Sparks and others to this poll. How do you pronounce midodrine?

#AKI in #ESLD TBili 35. SM-stained & Bili-stained mixed granular/hyaline cast overlapping a renal tubular epi cell cast. Not pure hemodynamic #hepatorenal, ATI ischemic vs cholemic or both. #UrinarySediment #PisseProphet
https://itunes.apple.com/app/id568780324

Fun debut as a @Medscape moderator / panelist. Never a bad time to discuss #hepatorenal syndrome. @kellumja was as smooth as a celebrity 🎥 @MedscapeKidney https://www.medscape.org/nephrology

#AKI in cirrhosis, possible #hepatorenal. Scattered bili-stained granular casts, unusual number of leucine crystals within casts and isolated, in a background of hematuria #UrinarySediment #urinemicroscopy #PisseProphet #crystalluria
https://itunes.apple.com/app/id568780324