Published in:
01-12-2016 | Clinical Quiz
Renal failure from birth—AKI or CKD? Answers
Authors:
Sean Carter, Abhijit Dixit, Andrew Lunn, Anjum Deorukhkar, Martin Christian
Published in:
Pediatric Nephrology
|
Issue 12/2016
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Excerpt
Oliguric renal failure from birth is unusual in the absence of a hypoxic-ischaemic or toxic insult to cause AKI. Ultrasonography may be helpful in distinguishing a chronic picture from an acute picture, but in this case large bright kidneys are more suggestive of AKI. Antenatal oligohydramnios and IUGR are reliable antenatal markers, making CKD more likely in spite of an absence of the ultrasound appearance of hypo-dysplastic kidneys. …