The clinical presentation of acute kidney injury (AKI) depends on the presence of any preexisting conditions, the precipitating event(s) that caused the AKI and the severity of the AKI
The clinical presentation of acute kidney injury (AKI) depends on the presence of any preexisting conditions, the precipitating event(s) that caused the AKI and the severity of the AKI Acute Kidney injury Acute Kidney injury
«Flowchart»
PRE-EXISTING
CONDITIONS
Reduced effective
circulating volume


Cardiac failure
Cirrhosis
(Nephrotic syndrome)

Hypertension
Atherosclerosis


Renal artery stenosis
Aortic aneurysm

Diabetes
Chronic renal disease
Single functioning kidney
Obstruction


Bladder neck
Ureteric

Malignancy


Prostate cancer
Bowel cancer
Cervical cancer
Lymphoma


PRE-EXISTING
CONDITIONS
Reduced effective
circulating volume


Cardiac failure
Cirrhosis
(Nephrotic syndrome)

Hypertension
Atherosclerosis


Renal artery stenosis
Aortic aneurysm

Diabetes
Chronic renal disease
Single functioning kidney
Obstruction


Bladder neck
Ureteric

Malignancy


Prostate cancer
Bowel cancer
Cervical cancer
Lymphoma




Reduced effective
circulating volume


Cardiac failure
Cirrhosis
(Nephrotic syndrome)


Cardiac failure
Cirrhosis
(Nephrotic syndrome) Hypertension
Atherosclerosis


Renal artery stenosis
Aortic aneurysm


Renal artery stenosis
Aortic aneurysm

Diabetes
Chronic renal disease
Single functioning kidney
Obstruction

Diabetes
Chronic renal disease
Single functioning kidney
Obstruction


Bladder neck
Ureteric


Bladder neck
Ureteric Malignancy


Prostate cancer
Bowel cancer
Cervical cancer
Lymphoma



Prostate cancer
Bowel cancer
Cervical cancer
Lymphoma



<Node Text>

<Node Text>

<Node Text>

<Node Text>

<Go to node 3>

<Go to node 3>

<Go to node 3> Node 3

<Go to node 4>

<Go to node 4>

<Go to node 4> Node 4

<End Node 3>

<End Node 3>

<End Node 3>

<End Node 3>

<End Node 4>

<End Node 4>

<End Node 4>

<End Node 4>

<Next Node>

<Next Node>

<Next Node>

<Next Node>

<Next Node>

<Next Node>

<Next Node>

<Next Node> PRERENAL PRERENAL PRERENAL RENAL RENAL RENAL POSTRENAL POSTRENAL POSTRENAL

<Next Node>

<Next Node>

<Next Node>

<Next Node>

<Next Node>

<Next Node>

<Next Node>

<Next Node> Risk Risk Risk Acute hypovolaemia
Hypotension Vasodilation

Acute Sepsis and septic shock Sepsis Decreased cardiac output Decreased

End

End

End

Recovery Recovery Recovery Injury Injury Injury

End

End

End

Recovery Recovery Recovery Failure Failure Failure

End

End

End

Recovery Recovery Recovery Irreversible loss
of renal function
Irreversible loss
of renal function Irreversible loss Reversible loss
of renal function
Reversible loss
of renal function Reversible loss