Renal disease presenting as acute kidney injury: the diagnostic conundrum on the intensive care unit.

Abstract:

PURPOSE OF REVIEW:Acute kidney injury (AKI) is commonplace in most ICUs. In many cases the cause is believed to be multifactorial with sepsis being a major component. However, occasionally intrinsic renal disease will present to the ICU and as such critical care practitioners should be aware of this possibility and the ways in which such conditions may present. RECENT FINDINGS:Although a relatively rare occurrence the treatment for patients with intrinsic renal disease, particularly those who present as part of a vasculitic process, differs considerably from usual organ support employed on intensive care. Recent studies indicate that the outlook for these patients is poor particularly when the diagnosis is delayed. The use of serological investigations as well as other diagnostic techniques are discussed. SUMMARY:Not all AKI as described by changes in creatinine and urine output which presents or develops on the ICU is the same. AKI is a syndrome which encompasses many conditions and as such is nondiagnostic. Clinicians, when faced with AKI should satisfy themselves as to the likely cause of the AKI.

journal_name

Curr Opin Crit Care

authors

Amery CE,Forni LG

doi

10.1097/MCC.0000000000000155

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

606-12

issue

6

eissn

1070-5295

issn

1531-7072

journal_volume

20

pub_type

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