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{{Family tree| | |D01 | | | | D02 | | | | D03| | D01=•[[Nephrotoxicity]]<br>• contrast dyes<br>• [[Rhabdomyolysis]]<br>|D02=• [[Ischemia]]<br>• [[Hypoxia]]<br>• Hypotension<br>|D03=• [[Inflammation]]<br>• [[Sepsis]]<br>• [[Infection]]<br>}}
{{Family tree| | |D01 | | | | D02 | | | | D03| | D01=•[[Nephrotoxicity]]<br>• contrast dyes<br>• [[Rhabdomyolysis]]<br>|D02=• [[Ischemia]]<br>• [[Hypoxia]]<br>• Hypotension<br>|D03=• [[Inflammation]]<br>• [[Sepsis]]<br>• [[Infection]]<br>}}
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{{Family tree/end}}<br><br><br>
[[File:Etiologies of AKI.jpg]]
[[File:Etiologies of AKI.jpg|800px|left]]

Revision as of 16:22, 19 May 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nasrin Nikravangolsefid, MD-MPH [2]

Acute Kidney Injury




Overview


Acute kidney injury (AKI) or acute renal failure (ARF), is characterized by a rapid reduction of the renal filtration function, which is identified by a rise in serum creatinine concentration.[1]

Historical Perspective




Classification


  • Acute kidney injury is classified into three main groups:
    1. Prerenal
    2. Renal
    3. Postrenal
lab findings in AKI
Type UOsm UNa FeNa BUN/Cr
Prerenal >500 <10 <1% >20
Renal <350 >20 >2% <10-15
Postrenal <350 >40 >4% >20


Type UOsm UNa FeNa BUN/Cr
Prerenal >500 <10 <1% >20
Renal <350 >20 >2% <10-15
Postrenal <350 >40 >4% >20
 
 
 
 
 
 
 
 
AKI
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Prerenal
 
 
 
 
Renal
 
 
 
 
Postrenal
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Nephrotoxicity
• contrast dyes
Rhabdomyolysis
 
 
 
Ischemia
Hypoxia
• Hypotension
 
 
 
Inflammation
Sepsis
Infection
 




  1. Schrier RW, Wang W, Poole B, Mitra A (2004). "Acute renal failure: definitions, diagnosis, pathogenesis, and therapy". J Clin Invest. 114 (1): 5–14. doi:10.1172/JCI22353. PMC 437979. PMID 15232604.