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Monday, November 30, 2009
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Acute kidney failure

Kidney anatomy
Kidney anatomy
Definition

Acute (sudden) kidney failure is the sudden loss of the ability of the kidneys to remove waste and concentrate urine without losing electrolytes.


Alternative Names

Kidney failure; Renal failure; Renal failure - acute; ARF; Kidney injury - acute


Causes, incidence, and risk factors

There are many possible causes of kidney damage. They include:

  • Acute tubular necrosis (ATN)
  • Autoimmune kidney disease, including:
    • Acute nephritic syndrome
    • Interstitial nephritis
  • Decreased blood flow due to very low blood pressure, which can result from:
    • Burns
    • Dehydration
    • Hemorrhage
    • Injury
    • Septic shock
    • Serious illness
    • Surgery
  • Disorders that cause clotting within the kidney's blood vessels:
    • Hemolytic-uremic syndrome
    • Idiopathic thrombocytopenic thrombotic purpura (ITTP)
    • Malignant hypertension
    • Transfusion reaction
    • Scleroderma
  • Infections that directly injury the kidney such as:
    • Acute pyelonephritis
    • Septicemia
  • Pregnancy complications, including:
    • Placenta abruptio
    • Placenta previa
  • Urinary tract obstruction


Review Date: 07/11/2008
Reviewed By: Parul Patel, MD, Private Practice specializing in Nephrology and Kidney and Pancreas Transplantation, Affiliated with California Pacific Medical Center, Department of Transplantation, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).
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