Hepatorenal Syndrome - causes, pathophysiology and mechanism

[@armandohasudungan]

🎥 DON'T JUST WATCH, LEARN ACTIVELY! TRY THE QUIZ! 🤓 youmakr.ai/test-playground/questionnaire/673d33b9859b9c170836eae1

[@kainatkhan1336]

This man is really a treasure for medical student

[@Be1smaht]

Yes yes he is

[@طيبةيونساحمدحسن]

exactly 👍🖤

[@Abdulaziz-cp5rv]

Not only for medical student but also for resident, consultants and GP

[@919730251894]

True that

[@cpadilla2]

Thanks Dr. Hasudungan for bringing evidence based medicine to mainstream, keep it up! As an ICU doctor, you’ve inspired me to create my own channel to help the next gen of healthcare providers! Cesar

[@moosen34]

Your videos have helped me throughout my entire medical training Thank you so much for your wonderful teaching

[@laythahmed7179]

Simply amazing, he just summarized an average 60-minute lecture into less than 10 minutes.

[@rajeshmithun9455]

one of the best illustration of HRS

[@طيبةيونساحمدحسن]

the best explination at all really help me in my preperation to usmle step 1

[@sherylhelms6490]

Wow, thank you so very much. This is an amazing method of teaching a very complex subject.

[@ivetamosesyan4621]

Thank you❤👏👏. You make us love medicine even more.

[@OnceUponaTimeinIran-]

Excellent explanation! Thanks a ton!

[@MedicomaMedLecturesOnline]

Its such a great video !!! Doc you really have inspired me to create my own youtube channel and help the medical students!!

[@britfull4515]

I've been waiting to do this topic with you!

[@asnethchebet3168]

Thank you.I have been waiting for this❤

[@annotatedmedicaltutorials858]

Hepatorenal syndrome usually occurs just 1year after diagnosis of Liver Cirrhosis in approximately 18% of the patients, and in 39% of the patients it occurs after 5years of diagnosis of Liver Cirrhosis

[@dianapennepacker6854]

I got it after HE, induced coma, and then had about 9 liters of ascities in me for days on end before finally receiving a paracentesis. I believe the shock to my system just was too much or something - as I hear AKI often happens after induced coma and hepatic encephalopathy. Then removing all that fluid at once. I can deal with dialysis. I can deal with doctors, lethargic, nausea, lactulose, bi weekly paracentesis, and feeling gross - oh and low sodium. I however hate- ABSOLUTELY hate the fact I can't produce urine and the constant state of dehydration. If I get a transplant I'm celebrating by getting an ice cold jug of chocolate lactaid protein milk and sipping on it to my little hearts content. Then set up a blind taste test for water. Then buying 100 different juices and mix and matching till I find the right drink. I will never ever be dehydrated again! I need to gain weight but eating is getting more difficult. It would be so much easier to just be able to make a smoothie. Sorry for the rant. Damn I wish they knew how to just have my body make urine even if I still need dialysis.

[@Mgggg500]

Thank you for explaining it!!!!!

[@tehreemie]

All I wanna say is Thank You!!!

[@ughsirius]

Thank you so much!!!!!

[@salmahossam1447]

can we use diuretics to treat the ascites ?

[@razeenriyasat254]

Just a query, shouldn't the Cardiac output decrease? . Since there is systemic vasodilation, the cardiac return to the heart will decrease hence according to frank-starlings law, the cardiac output should decrease.

[@brbmd7414]

Yes, but that is only part of the picture. Baroreceptors will detect the drop in cardiac output and cause a compensatory increase in sympathetic tone.

[@AKhan-ux9fk]

Decrease in blood pressure will cause reflex increase in cardiac output

[@heyyo7451]

You are the Best man

[@Chessnuuuuut]

Thank you!

[@aaryanmishra9279]

Why does all the h2o and Na leak out causing ascites in liver disease in the tubules

[@georgenkansah659]

Low Oncotic pressure from the decreased albumin level I think

[@Ahh37]

This is spectacular

[@mohammadtaani3194]

can u make a video to explain POTASSIUM disorders plz

[@tss0828]

Thank you!!!!!!

[@دلال-و2س]

Thanks alot 💖🤝🏻

[@francismartino6890]

Is this the same for dogs

[@danielmoses2156]

THANKS

[@celramj5998]

thanks alot

[@Be1smaht]

This was a uworld question for me today

[@rahulrathod4843]

Thank you so much sir 🙏

[@MEZTLI2023]

Thanks 😊! I love Anatomy! ❤️

[@Scholarship_hunters]

Awesome content sir😍

[@AMWE-gh7ti]

Excellent!

[@gamingyoo6399]

Thanku so much....🙏

[@hantonoshi]

thank you so so much... mauliate

[@andyspark5192]

Hello. Could you make an update on CoViD? The is new data emerging about damage of the endothelial cells, followed by blood clots and increased oxidative stress. Also make a comparison to Kawasaki disease. I wonder if there also a virus involved but it's not contagious and only kids are affected.

[@Lino_Winter]

Hey, I have one question: How does the NO get to the arteries of the splanchnic system, or why does it effect it specifically? Since it must get trough the cardiovasular system first, it should in my mind also get to the arteries of the lungs, the heart itself, etc .Could you explain this? English isn't my mother tongue so I may not understand everything. Greetings

[@AKhan-ux9fk]

There's shunting of blood to systemic system due to portal hypertension that causes NO to act only on splanchnic vessels and cause thier vasodilation I hope now you understand

[@shivasingh5104]

what stationary do you guys use>>

[@aksnstha7051]

Does obstructive jaundice cause HRS?

[@مسكالختاممحمد]

Yes

[@anwesha_ks]

Is it alcoholic liver. Sir what is alcoholic liver and what are the threatens on it? I am a nutrition student,but missed that class in college..

[@jameslim3641]

When a person has chronic alcoholic abuse, it will cause steatohepatitis, and may progress to hepatitis, then to cirrhosis. Alcohol is metabolised to acetaldehye in liver and this is extremely toxic as it can bind to protein and nuclei acid and change their structure

[@roseart7485]

2nd comment thank you for the video! I needed clarification on this

[@YasserALHarbi43]

Awesomeeeee 👍👍👍

[@hstudy8406]

Great Sir

[@theeducatorsacademy2083]

Sir your lectures are highly appreciated and I want you to plz give a lecture on amino acids and peptides sir .......

[@niharnayak1614]

Nice

[@yogayantra]

and what are the causes??? You see, you draw a person who obviously is overweight. I believe that diet can have a major impact, that a poor diet started the disease, and probably a better diet could reduce the problem, from its root. Right?

[@sergioramos6455]

Are you a doctor? It's obvious that the content creator chose to mainly focus on the analysis of the pathophysiology, which is great for educational punctual purposes.

[@yogayantra]

@@sergioramos6455 i think that the study of any disease should include the ethiology

[@yogayantra]

@@sergioramos6455 and do i need to be a doctor to be allowed to ask a question?

[@vsear5911]

The proximal cause is cirrhosis->liver failure. If, in turn, you want to know the etiopathology of that, that's for a cirrhosis video. Not within the scope of a syndrome overview.

[@sergioramos6455]

But he still mentions different causes... I didn't ask that in a non respectful manner, I was just curious.

[@Jac2788]

My mother died of this in 2017 😞

[@fanzone59]

This is definitely the worst explanation of the topic I've seen on the net. He was obviously tired when he made this video because it's very confusing and doesn't contain the required sequence of information.

[@doctorashutosh]

1st comment😂

[@roseart7485]

*virtual high fives* :D

[@MedicomaMedLecturesOnline]

@@roseart7485 If you like medical video lectures subscribe to my channel!!