title: Before you call renal: Acute kidney injury for hospitalists.
abstract: Acute kidney injury is a clinical problem of growing incidence in hospitalized patients. It increases the risk of poor outcomes, length of stay and the cost of hospitalization. Successful management of acute kidney injury requires early recognition and diagnosis through detailed medical history, careful physical exam, judicious use of laboratory and radiologic tests and timely renal consultation. Subsequent management is tailored to the likely mechanism of injury with emphasis on limiting both further injury and systemic consequences. A common sense approach to acute kidney injury is essential for hospitalists aiming to limit further injury, prevent acute complications and lessen the risk of chronic morbidity.
authors: Inpatient Clinician Educator Service, Hospital Medicine Unit, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
authors: Cynthia M
authors: CM
authors: Cooper
authors: Inpatient Clinician Educator Service, Hospital Medicine Unit, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
authors: Andrew Z
authors: AZ
authors: Fenves
mesh_terms: D058186:Acute Kidney Injury / Q000145:classification / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects; D001002:Anuria / Q000209:etiology; D053099:Azotemia / Q000097:blood; D015415:Biomarkers / Q000097:blood; D003401:Creatine / Q000097:blood; D003967:Diarrhea / Q000209:etiology; D005919:Glomerular Filtration Rate / Q000502:physiology; D006417:Hematuria / Q000209:etiology; D020445:Hospitalists / Q000592:standards*; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D008487:Medical History Taking; D012017:Referral and Consultation; D017582:Renal Replacement Therapy; D014463:Ultrasonography; D014839:Vomiting / Q000209:etiology
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D015415:Biomarkers; D003401:Creatine