Urology

Acute Kidney Injury

급성신손상

Rapid decline in renal function; pre-renal, intrinsic, post-renal causes

How common
Common
Typical age
Variable age

What is it?

Core pathophysiology of Acute Kidney Injury.

Commonly affected: 사구체·세뇨관·간질

How it develops

  1. TriggerTriggering factor for Acute Kidney Injury
  2. Local changeSpecific changes in 사구체·세뇨관·간질
  3. ManifestationCharacteristic clinical features appear
  4. CourseCourse depends on treatment

Symptoms

  • Characteristic symptomsClassic features of Acute Kidney Injury
  • Voiding/pain/hematuriaVaries by patient
  • Systemic symptomsWith progression

How it is examined

  • Physical examIdentify affected region
  • Urine/blood labsUA, renal function, PSA as appropriate

Imaging

Renal ultrasound or CT urography is standard.

  • Lesion-specific imaging findings

MRI or cystoscopy if indicated.

  • Adjunctive findings

Non-surgical care

  • PharmacotherapyTargeted medications
  • Lifestyle/hydration2 L/day fluids, regular voiding
  • SurveillanceRegular follow-up

Conservative options are generally tried first. Medications listed here can have side effects — discuss them with your prescriber.

When surgery is considered

Medical failure or complications

Procedures that may be discussed

  • Endoscopic procedure
  • Surgical treatment

Outlook

Good with appropriate treatment.

Self-care notes by email

Occasional exercise, nutrition and recovery guides. No spam; unsubscribe anytime.

Privacy policy