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Harrison's Principles of Internal Medicine, 18e | Part 13. Disorders of the Kidney and Urinary Tract > | Chapter 279. Acute Kidney Injury Sections: Acute Kidney Injury: Introduction, Epidemiology, Etiology and Pathophysiology, Diagnostic Evaluation, Complications, Outcome and Prognosis, Further Readings. Topics Discussed: renal failure, acute. Excerpt:"Acute kidney injury (AKI), previously known as acute renal failure, is characterized by the sudden impairment of kidney function resulting in the retention of nitrogenous and other waste products normally cleared by the kidneys. AKI is not a single disease but, rather, a designation for a heterogeneous group of conditions that share common diagnostic features: specifically, an increase in the blood urea nitrogen (BUN) concentration and/or an increase in the plasma or serum creatinine (SCr) concentration, often associated with a reduction in urine volume. AKI can range in severity from asymptomatic and transient changes in laboratory parameters of glomerular filtration rate (GFR), to overwhelming and rapidly fatal derangements in effective circulating volume regulation and electrolyte and acid-base composition of the plasma...."
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