Acute Tubular Necrosis Flashcards

1
Q

Most common cause of AKI seen in practie. TRUE/FALSE?

A

TRUE

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2
Q

What does acute tubular necrosis mean?

A

Necrosis of renal tubular epithelial cells

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3
Q

Two main causes of ATN

A
  1. ischaemia (shock/sepsis)
  2. nephrotoxins (aminoglycosides, rhabdomyolysis, contrast)
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4
Q

Clinical features of AKI

A

Bloods show raised urea, creatinine, potassium
muddy brown casts in the urine

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5
Q

Histopathological features

A

tubular epithelium necrosis: loss of nuclei and detachment of tubular cells from the basement membrane

dilatation of the tubules

necrotic cells obstruct the tubule lumen

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6
Q

Name the 3 phases of ATN

A

oliguric phase
polyuric phase
recovery phase

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7
Q
A
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