Hepatology

Nephrology

Questions discussed in this category

What factors do you consider when deciding to treat IgA nephropathy with immunosuppression in a patient with cirrhosis, given the possibility that IgA nephropathy could be secondary to cirrhosis?

2 Answers available

Do you avoid peritoneal dialysis in cirrhotic patients with ascites?

3 Answers available

What are some practical tips for when a patient's consistently stated goals of care do not correlate with their actions?

For example, what do you do when someone requests aggressive, life-prolonging treatments but then is not receptive to elements of day-to-day care in t...

4 Answers available

What is your strategy to manage the complication of long-term immunosuppression in liver transplant recipients, specifically renal dysfunction and onset of cardiometabolic comorbidities?

Do you opt for dose reduction? Switching medications?

2 Answers available

Is there a serum ammonium level for which you recommend initiation of dialysis in a patient with hepatic encephalopathy?

3 Answers available

Should a patient who requires definitive treatment for prostate cancer as a pre-transplant requirement be strictly required to complete their course prior to transplant/initiation of immunosuppression?

Patient is undergoing RT and has already started on a GnRH antagonist. If so, how long after their last fraction would be an appropriate wait time?

1 Answer available

Can tacrolimus in a transplant patient be used during radiation and concurrent chemoradiation?

Does your practice differ depending on the disease site?

1 Answer available

When giving albumin challenge, for acute kidney injury with suspected hepatorenal syndrome, do you administer a single dose daily or split the dose of albumin?

1 Answer available

Do you avoid terlipressin for patients with hepatorenal syndrome who have an elevated bilirubin level?

2 Answers available

What is your approach to managing concurrent severe SIADH and large-volume malignant ascites when aggressive volume removal appears to exacerbate both symptoms and hyponatremia?

For example, would you consider alternatives to paracentesis (Denver shunt placement, CART therapy, or permanent tunneled catheters) that might better...

1 Answer available

Papers discussed in this category

Clinical journal of the American Society of Nephrology : CJASN, 2023 Oct 17

How We Treat Hyperammonemia in Acute Liver Failure.

The New England journal of medicine, 2021 Mar 04

Terlipressin plus Albumin for the Treatment of Type 1 Hepatorenal Syndrome.

European journal of endocrinology, 2023 Aug 02

Effect of protein supplementation on plasma sodium levels in the syndrome of inappropriate antidiuresis: a monocentric, open-label, proof-of-concept study-the TREASURE study.

Medicine, 2016 Jan

Peritoneal Dialysis is Associated With A Better Survival in Cirrhotic Patients With Chronic Kidney Disease.

Clinical nephrology, 2011 Oct

Outcome of peritoneal dialysis in cirrhotic patients with end-stage renal disease: a 24-years' experience in Taiwan.

The American journal of medicine, 1992 Jul

Peritoneal dialysis in end-stage renal disease patients with preexisting chronic liver disease and ascites.

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2002 Jul

Outcome of peritoneal dialysis in cirrhotic patients with chronic renal failure.

The New England journal of medicine, 2021 Mar 04

A Randomized Trial of Albumin Infusions in Hospitalized Patients with Cirrhosis.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2020 Oct 23

Pretransplant solid organ malignancy and organ transplant candidacy: A consensus expert opinion statement.

Hepatology

Nephrology

Questions discussed in this category

Papers discussed in this category

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