Тёмный

Hepatorenal Syndrome 

Strong Medicine
Подписаться 712 тыс.
Просмотров 69 тыс.
50% 1

Опубликовано:

 

7 окт 2024

Поделиться:

Ссылка:

Скачать:

Готовим ссылку...

Добавить в:

Мой плейлист
Посмотреть позже
Комментарии : 49   
@PH-xw1ri
@PH-xw1ri 4 месяца назад
You’re a real internist. Love your work.
@MrGoblin60
@MrGoblin60 5 лет назад
I'm very grateful to be able to learn from your knowledge and experience. Many thanks.
@pabos1993
@pabos1993 4 года назад
You are a LEGEND dr Strong. Thanks for your help. You save lives with your videos
@Conzed92
@Conzed92 5 лет назад
Thank you so much for the amazing video! You are one my top go-to sources when the books tire me out. Keep going Doc!
@natarajumididoddi5985
@natarajumididoddi5985 2 года назад
Excellent lecture about HRS. We are grateful for your talk. It covered all the aspects
@tarekegntadesse5466
@tarekegntadesse5466 Год назад
Your way of teaching is. amazing as I think is good I used from it ❤
@ioannistastsidis
@ioannistastsidis Год назад
Perfectly explained and very informative!
@rcorty
@rcorty 3 года назад
I would be interested to hear a little more about why/how the albumin challenge differentiates volume depletion from HRS.
@mrehteshamjavaid
@mrehteshamjavaid 5 лет назад
Once Again, Great Video! Very Satisfying.
@arghavanjafarijozani2592
@arghavanjafarijozani2592 3 года назад
Beautifully explained
@TheGreatWall002
@TheGreatWall002 5 лет назад
I loved all of the pictures that you used to bring your points home!!!
@abdulazeez.98
@abdulazeez.98 5 лет назад
Great video as always! Liver and kidney topics are always interesting.
@DrAdnan
@DrAdnan 5 лет назад
I forgot about this- thanks!
@mjd8139
@mjd8139 4 года назад
thank you for such a nice vedio... but I have two comments : first,, in the diagram of the pathogenesis of HRS I want to say that renin-angiotensis-aldosteron works as a compensatory and work for increasing GFR because angiotensen constricts the efferent arteriol of the renal capillaries. so , althought the renal blood flow is decrease because of renal vessels constriction, the GFR is maintained because of strong contraction of efferent. artery .. and you should draw a line from ( low effective volume) directly to ( low gfr ) without passing through RAS second is hemo dyaliasis..I think you meant renal transplant,not dyaliasis ... because of course we will need hemo dyaliasis when the patient kidneys aren't going well finally, forgive me for my bad english grammmmers
@benjaminazumah9833
@benjaminazumah9833 Год назад
Note: there is also increased activation of the sympathetic nervous system which will lead to among other things renal vasoconstriction. Also, angiotensin II does not only constrict the efferent arterioles, it also constricts the afferent arterioles just that the constriction of the efferent arterioles is more.
@sunving
@sunving 4 года назад
Thank you Dr Strong.
@Zain.Basi1
@Zain.Basi1 5 лет назад
Thank you doc!
@ATNye
@ATNye 5 лет назад
Thanks!
@gauravsharma-st6ex
@gauravsharma-st6ex 3 года назад
Good job .. thank you
@sunving
@sunving 4 года назад
thanks Dr Strong
@satheeshyadav1972
@satheeshyadav1972 Год назад
Thanks a lot sir
@Chiko-sc1gz
@Chiko-sc1gz 5 лет назад
Thanks for the video! I have a few suggestions for the 'approach' series: jaundice, lymphadenopathy, hepatomegaly and/or splenomegaly
@StrongMed
@StrongMed 5 лет назад
Thanks for the great suggestions! Jaundice will be in the next batch of "Approach to Symptom" videos, hopefully to be posted in February. I'll add the others to the list for future batches.
@amitshah2741
@amitshah2741 5 лет назад
Thank you for the amazing video. Will you be covering topics from neurology too?
@StrongMed
@StrongMed 5 лет назад
I have a video on the Approach to Headache that I just posted a few weeks ago. Other neuro topics are down the line, but not anticipated any time soon. It's not that they aren't important, but I try to time my videos to roughly correspond with when topics are covered in my school's curriculum. I missed the neuro block for this year already, so thus will be doing some more heme and then swinging back to cardiology.
@NinjaSheepa
@NinjaSheepa 5 лет назад
thanks
@shif442
@shif442 5 лет назад
great one...is cardio renal syndrome also planned?
@StrongMed
@StrongMed 5 лет назад
I'm hoping to do a heart failure series in the spring, and if so, will be sure to incorporate this topic. Thanks for the suggestion!
@shif442
@shif442 5 лет назад
@@StrongMed thx :)
@Mr.medicine99
@Mr.medicine99 9 месяцев назад
@Evan-rb1oh
@Evan-rb1oh 2 года назад
why does albumin challenge not improve renal function in HRS? albumin will increase intravascular oncotic pressure thus increase EABV, thereby reducing AKI. So how come albumin doesn't improve renal function in HRS?
@benjaminazumah9833
@benjaminazumah9833 Год назад
Because in HRS, patients are "volume non-responsive" in the first place.
@jasons5916
@jasons5916 Год назад
@@benjaminazumah9833 I think the reason it doesn't respond to volume increases is because adding fluids would increase hepatic and splanchnic pressure and when that happens, more vasodilators are released to compensate. All the added volume goes to the splanchnic vessels and ends up causing more ascites, so the kidneys get nothing.
@altafalinaushad6368
@altafalinaushad6368 5 лет назад
6:26 I didn’t understand the part that said that urine excretion of sodium is low in excessive diuresis. Aren’t the diuretics used in chronic liver disease like furosemide/spironolactone combination responsible for high urine sodium?!
@altafalinaushad6368
@altafalinaushad6368 5 лет назад
Unless you mean that on diuretics the patient has developed pre renal failure which is responsible for the low sodium.
@jakedouglas6193
@jakedouglas6193 4 года назад
He says low urine sodium is indicative of HRS, is this due to activation of the RAS system and resistance to diuresis that can be seen in ascites?
@benjaminazumah9833
@benjaminazumah9833 Год назад
@@jakedouglas6193 It's because HRS is one of the many causes of pre-renal AKI. And in pre-renal AKI the RAAS is activated and also there is increased ADH release consequently. These all lead to reabsorption of sodium in the various parts of the renal tubule together with H2O in order to preserve intravascular volume. This is the cause of the decreased urine excretion of sodium seen in HRS.
@moristhetiger
@moristhetiger 5 лет назад
Sir why does Vasodilation occur in response to Portal hypertension? Is it some kind of compensatory response? Does it happen all the time? The video was awesome sir.
@cameronseider4565
@cameronseider4565 5 лет назад
I was curious about this too. A quick online search indicates that it is likely a compensatory response. Endogenous vasodilators (i.e. nitric oxide) are released in an attempt to reduce vascular resistance and promote more blood flow into the portal vein.
@moristhetiger
@moristhetiger 5 лет назад
Oh wowow Thanks a lot brother. Can I have your whatsapp number if you don't mind.
@moristhetiger
@moristhetiger 5 лет назад
I think It cannot and doesn't have to be like a very sharp thing but it will help me remember the concept very well. Really thankful to you brother, I will try to share some things with you if you send me your whatsapp number.
@sabihakhan1077
@sabihakhan1077 4 года назад
coz o liver is not able to metabolize NO thatswhy splanchnic vasodiltion occurs
@dr.vatsalaverma7243
@dr.vatsalaverma7243 5 лет назад
Sir can u elaborate pathophysiology of anemia for us?
@StrongMed
@StrongMed 5 лет назад
Hoping to start some anemia videos in Feb-March, once the cirrhosis and hemostasis series are finished.
@booloob
@booloob 5 лет назад
Just watching for fun!
@mattkraft3807
@mattkraft3807 5 лет назад
Will the Abdominal X-Ray series be forthcoming?
@StrongMed
@StrongMed 5 лет назад
I know...I've been meaning to cover that topic for 2 years now. Hoping to get to it in the next couple of months, but no guarantees.
@je6874
@je6874 5 лет назад
A complication is sometimes... death.
Далее
The Acute Complications of Cirrhosis - An Overview
4:21
Spontaneous Bacterial Peritonitis
18:32
Просмотров 84 тыс.
Hepatic Encephalopathy
11:50
Просмотров 268 тыс.
Cushing's Syndrome and Disease | Clinical Medicine
35:22
An Approach to Jaundice
14:18
Просмотров 96 тыс.
Hepatorenal Syndrome with Dr Juan Carlos Velez
1:11:51
Просмотров 1,2 тыс.
Cirrhosis - Physical Findings
18:32
Просмотров 86 тыс.
Esophageal Varices and Variceal Hemorrhage
17:42
Просмотров 91 тыс.
Inherited Liver Diseases | Clinical Medicine
26:36
Просмотров 13 тыс.
Hepatorenal syndrome
10:17
Просмотров 7 тыс.
An Approach to Syncope
15:32
Просмотров 139 тыс.