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What are intrarenal causes of acute kidney injury (AKI) (select all that apply)?

a. Anaphylaxis
b. Renal stones
c. Bladder cancer
d. Nephrotoxic drugs
e. Acute glomerulonephritis
f. Tubular obstruction by myoglobin

User Stelo
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1 Answer

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Final answer:

Intrarenal causes of acute kidney injury include nephrotoxic drugs, acute glomerulonephritis, and tubular obstruction by myoglobin. Renal stones cause post-renal AKI, whereas anaphylaxis and bladder cancer are not intrarenal causes.

Step-by-step explanation:

The intrarenal causes of acute kidney injury (AKI) include conditions that directly damage the kidney's structure and affect its functioning. Among the options given:

  • Nephrotoxic drugs (such as some NSAIDs, aminoglycoside antibiotics, and others) can cause direct toxic injury to renal tissue.
  • Acute glomerulonephritis can stem from several conditions, including autoimmune diseases like Goodpasture's syndrome and acute lupus nephritis with systemic lupus erythematosus, directly affecting renal function.
  • Tubular obstruction by myoglobin, as seen in rhabdomyolysis, can lead to intratubular obstruction and kidney damage.

However, while renal stones can cause post-renal AKI due to obstructive causes in the urinary tract, anaphylaxis and bladder cancer are not intrarenal causes of AKI. It's important to differentiate between intra-renal and other causes to correctly diagnose and manage AKI.

User Michael Platings
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