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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.  <br><br>'''<font size="3">Historical Perspective</font>'''
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.<ref name="pmid15232604">{{cite journal| author=Schrier RW, Wang W, Poole B, Mitra A| title=Acute renal failure: definitions, diagnosis, pathogenesis, and therapy. | journal=J Clin Invest | year= 2004 | volume= 114 | issue= 1 | pages= 5-14 | pmid=15232604 | doi=10.1172/JCI22353 | pmc=437979 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15232604 }} </ref> <br><br>'''<font size="3">Historical Perspective</font>'''
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'''<font size="3">Classification</font>'''
'''<font size="3">Classification</font>'''
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{{familytree | | |,|-|-|-|-|-|-|+|-|-|-|-|-|-|.| }}
{{familytree | | |,|-|-|-|-|-|-|+|-|-|-|-|-|-|.| }}
{{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>}}
{{Family tree/end}}
{{Family tree/end}}<br><br><br>
[[File:Etiologies of AKI.jpg]]

Revision as of 15:50, 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.