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Related Concept Videos

Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

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Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
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Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

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Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
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Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

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Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
52
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

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Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

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Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
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Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Related Experiment Video

Updated: Aug 7, 2025

Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
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POCUS Evaluation in Acute Kidney Injury.

Vanessa A Hoytfox1, Brittney C Ward1, Emily J Cox2

  • 1Providence Internal Medicine Residency Spokane, Providence Health Care Spokane, WA United States of America.

POCUS Journal
|March 10, 2023
PubMed
Summary

Point of care ultrasound (POCUS) aids in diagnosing acute kidney injury. In this case, POCUS identified bilateral hydronephrosis caused by benign prostatic hyperplasia, guiding treatment.

Keywords:
POCUShydronephrosisrenal colicultrasound

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Area of Science:

  • Nephrology
  • Internal Medicine
  • Medical Imaging

Background:

  • Acute kidney injury (AKI) is a frequent clinical challenge.
  • Standard AKI evaluation involves clinical history, physical exam, and lab tests like urinalysis.
  • Point-of-care ultrasound (POCUS) can assist in diagnosing AKI.

Observation:

  • A 67-year-old male presented with dysuria, fever, flank pain, and elevated creatinine.
  • Initial concern was for complicated urinary tract infection causing AKI.
  • Kidney and bladder POCUS revealed bilateral hydronephrosis.

Findings:

  • POCUS demonstrated bilateral anechoic fluid collections in the renal sinus with dilated calyces.
  • Findings were indicative of bilateral hydronephrosis.
  • Benign prostatic hyperplasia was diagnosed as the likely cause.

Implications:

  • This case highlights POCUS's utility in diagnosing AKI.
  • POCUS provided crucial diagnostic information for timely management.
  • The findings underscore the role of POCUS in identifying obstructive uropathy in AKI.