Acute kidney injury in an adolescent: Answers

Excerpt

First, we excluded the chronic state of this patient by looking at his previous creatinine value and experienced an acute rise in the plasma creatinine so defined as acute kidney injury (AKI) [1]. The basic diagnostic approach to our patient with AKI was to assess whether the patient has prerenal, postrenal, or intrinsic AKI. Postrenal AKI is an immediately curable cause and was ruled out in our patient due to the absence of signs of obstruction on urinary system ultrasound. At the initial admission to the local hospital, he was considered as having prerenal AKI with volume depletion because of vomiting and diarrhea. His physical examination findings of hypotension and tachycardia supported the prerenal AKI. However, despite the volume repletion, his renal function worsened and he was admitted to our hospital. …