What Are the First Steps in Developing a Diagnosis of AKI?

When I first get the phone call about somebody who has an AKI, this is kind of what I'm doing as I'm starting to dig through the chart. Once we have a urine sample available, let's take it to the lab and actually look at the urine sediment. We can diagnose cutular necrosis by looking at muddy brown casts or granular casts. Dysmorphic RBCs also make us worried about intransical and marionar disease. Doppler studies are also helpful if that's available to help you understand what's the renal vasculature or the renal artery specifically.