Dr. Juan Carlos-Velez
Nephrologist at Ochsner Health with expertise in hepatorenal physiology and consultative care, featured as a guest to discuss HRS pathophysiology and diagnosis.
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Oct 15, 2025 • 36min
#190: Hepatorenal Syndrome Part 1: 5 Pearls Segment
Dr. Juan Carlos-Velez, a nephrologist from Ochsner Health, dives into the intricacies of hepatorenal syndrome (HRS). He explains how portal hypertension triggers pathophysiological changes in the kidneys and distinguishes HRS from other acute kidney injury causes. The discussion covers the diagnostic challenges posed by serum and urine sodium levels. Dr. Velez also highlights when albumin should be used strategically and how evolving criteria for HRS diagnosis are reshaping clinical practices.
