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関連する概念動画

Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

854
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...
854
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

243
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...
243
Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

769
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...
769
Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

519
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...
519
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

277
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...
277
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

362
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...
362

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A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
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外傷なしのグレード5腎損傷

Phaedra Rampersad1, Silas Webb2, David Connor1

  • 1Emergency Medicine, Chelsea and Westminster Healthcare NHS Trust, London, England, UK.

BMJ case reports
|December 15, 2025
PubMed
まとめ

若い女性がデッドリフト後に重度の側腹部痛と失神を経験し、グレードVの腎損傷と後腹膜出血が明らかになった。腎動脈塞栓術を含む迅速な介入が生存に不可欠であった。

科学分野:

  • 救急医学
  • 腎臓病学
  • 放射線医学

背景:

  • 外傷なし腎損傷はまれな病状である。
  • 側腹部痛は、筋骨格系の問題と類似した非定型的な症状を呈することがある。
  • 後腹膜出血は、明白な外傷の兆候がない場合がある。

研究 の 目的:

  • 外傷なし腎損傷のまれな症例を強調するため。
  • 側腹部痛の鑑別診断において腎損傷を考慮することの重要性を強調するため。
  • 後腹膜出血の診断上の課題と管理について論じるため。

主な方法:

  • 運動後の側腹部痛を呈する若い女性の症例報告。
  • ポイントオブケア超音波検査および高度な画像検査を含む診断ワークアップ。
  • 血行動態の安定化とインターベンショナルラジオロジーを含む管理。

主要な成果:

  • グレードVの腎損傷および活動性後腹膜出血の診断。
  • 患者は血行動態的に不安定になり、大量出血プロトコルが必要となった。
  • 三次センターでの腎動脈塞栓術の成功。
キーワード:
蘇生泌尿器科手術

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Renal Ischaemia Reperfusion Injury: A Mouse Model of Injury and Regeneration
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関連する実験動画

Last Updated: Jan 8, 2026

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Bilateral Renal Ischemia-Reperfusion Model for Acute Kidney Injury in Mice
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Renal Ischaemia Reperfusion Injury: A Mouse Model of Injury and Regeneration
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結論:

  • 救急医は、外傷がなくても側腹部痛の場合に腎損傷を考慮する必要がある。
  • 超音波検査などの診断モダリティは、後腹膜出血に対して信頼性が低い場合がある。
  • まれな腎損傷に対しては、迅速な認識と多職種による管理が鍵となる。