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Dka Causing Aki

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Acute Kidney Injury Differential Diagnoses

Diagnostic Considerations Although acute kidney injury (AKI) is a potentially reversible condition, it can occur in patients with chronic renal failure. Every effort should be made to identify reversibility, even if improvement in renal function is marginal. The best way to identify reversibility is by tracking the rate of deterioration of renal function. If there is an acceleration of the rate at which the patient’s renal function is worsening, the cause should be sought and treated. Differentials to consider in AKI include the following: Urine output in differential diagnosis Changes in urine output generally correlate poorly with changes in the glomerular filtration rate (GFR). Approximately 50-60% of all causes of AKI are nonoliguric. However, the identification of anuria, oliguria, and nonoliguria may be useful in the differential diagnosis of AKI, as follows: Anuria (< 100 mL/day) - Urinary tract obstruction, renal artery obstruction, rapidly progressive glomerulonephritis, bilateral diffuse renal cortical necrosis Nonoliguria (>400 mL/day) - Acute interstitial nephritis, acute glomerulonephritis, partial obstructive nephropathy, nephrotoxic and ischemic ATN, radiocontrast- Continue reading >>

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Popular Questions

  1. serg06

    I started keto about a month ago and this has never happened before - my pee started to get dark yellow and smells surprisingly funky - is that good? Is that bad?
    If it's bad, what do I change to stop it?
    Thanks.

  2. guldilox

    You're probably both dehydrated and peeing out ketones. It is entirely possible it is bad, yes, but I am not a doctor and cannot make that diagnosis.
    Excretion of water soluble vitamins can also affect urine, most immediately noticeable would probably be excess B vitamins.
    Drink more water. Like, a lot more. And if it really doesn't change, then consult someone more professional than I.

  3. serg06

    Ah, I've been drinking less and less water - no wonder. Ty. ;p

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