Aki cases-and-messages-2-nov-2017

1. AKI cases and
Messages
Hussein Sheashaa, MD, FACP
Professor of Nephrology, Urology and Nephrology Center and Director of Medical E-Learning
Unit, Mansoura University, and Executive Director of ESNT- Virtual Academy:
http://lms.mans.edu.eg/esnt/
March 17th, 2017Thursday, November 2nd, 2017

2. ESNT-Virtual Academy:
AKI

3. Case 1
A 40-year old male patient who is suffering
from chronic HCV infection and liver cirrhosis
Presents with AKI, serum creatinine 2 mg/dl
from baseline 0.9 mg/dl
CE: BP 80/50, no ascites
US: average size both kidneys, no
hydronephrosis
What is the cause of AKI? HRS?

4. Liver International 2017; 37(Suppl. 1): 116–122
Renal Function in
Liver Disease

5. Journal of Hepatology 2015 vol. 62 j 968–974
AKI in Cirrhosis:
HRS Definition

6. HRS or Not?
Kidney International (November 2017) 92, 1058–1070

7. AKI in Cirrhosis:
FENa

8. Case 2
Nephrology Self-Assessment Program - Vol 10, No 3, May 2011
What is the most appropriate
management and why?

9. Advances in Chronic Kidney Disease, Vol 23, No 3 (May), 2016: pp 160-166
Case 2:
IAH-ACS

10. Case 3

11. Miletic, et al. J Clin Ultrasound. 1998;26:185-189.
Renal US

12. Clin J Am Soc Nephrol 9: 382–394, Feb 2014.
Renal US

13. Case4
(CK level: 118,342 U/L (38-176 U/L)

14. Drug and AKI

15. JAMA. 2013;310(23):2544-2553
1. CCB and Antibiotics

16. 2. Vancomycin and AKI
J Am Soc Nephrol. 2017 Jun;28(6):1723-1728

17. Vancomycin-Associated
Cast Nephropathy
Transmission electron
microscopy analysis
with immunogold
J Am Soc Nephrol. 2017 Jun;28(6):1723-1728

18. Int Urol Nephrol. 2017 Feb 4
3. Which Drug is The Cause?

19. J Thromb Haemost. 2016 Mar;14(3):461-7
Anticoagulation Related
Nephropathy

20. Drug Saf (2015) 38:527–533
Anticoagulation Related
Nephropathy

21. Drug Saf (2015) 38:527–533
Anticoagulation Related
Nephropathy

22. Am J Kidney Dis. June 2014;63(6)
4. Which Drug?

23. Cortical Necrosis:
Causes
Am J Kidney Dis. June 2014;63(6):xix-xxii

24. 5. PPI

25. The Journal of Clinical Hypertension Vol 18 | No 6 | June 2016
6. AKI and RAS:
n 324 ED-CKD

26. The Journal of Clinical Hypertension Vol 18 | No 6 | June 2016
AKI and RAS

27. 7. Geriatric Nephrology:
Drug Induced AKI
Drugs and Aging 2017, in press

28. Drugs and Aging 2017, in press
7. Geriatric Nephrology:
Drug Induced AKI

29. Drugs and Aging 2017, in press
7. Geriatric Nephrology:
Drug Induced AKI

30. Unusual
Scenarios

31. Am J Kidney Dis. 2013;62(5):974-977
Extreme Weakness and AKI

32. Kidney International (March 2017) 91, 761–762
What Is Your Diagnosis?

33. Kidney International (2016) 90, 233–234
What Is Your Diagnosis?

34. Journal of Critical Care 41 (October 2017) 138–144
RRT for AKI:
Which is The Best?

35. Journal of Critical Care 41 (October 2017) 138–144
RRT for AKI:
Which is The Best?

36. Is AKI An Isolated Renal
Disorder?