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# 398:Live! From SHM: Inpatient Cirrhosis Management

The Curbsiders Internal Medicine Podcast

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How to Treat Hepato Renal Syndrome With Acute Kidney Injury

Mididrin albumin and octreatide are not as effective as trolopressin or norepi. Albumin challenge upfront on day one is sometimes helpful in reversing the AKI along with holding their diuretics. If this doesn't get better, they may need to progress towards transplantation,. And that might be both liver and kidney transplant.

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