Table 1.
Etiologies of Pediatric Acute Kidney Injury
Pre-renal / Hypoperfusion | Renal / Intrinsic | Post-renal / Obstruction |
---|---|---|
| ||
↓ Intravascular volume | Glomerular | Urethral obstruction |
Hemorrhage post surgical, trauma | Acute Glomerulonephritis | Posterior urethral valves |
Severe dehydration | Immune mediated nephropathy | |
3rd-space loss – sepsis, capillary leak | ||
| ||
↓Effective Circulating Volume | Vascular | Obstruction of solitary kidney tract |
Cardiac dysfunction | Hemolytic-uremic syndrome | |
Acute Liver failure | Malignant hypertension | |
Sepsis-associated vasodilation | Lupus nephritis | |
| ||
↓Renal Blood Flow | Interstitial | Ureteral Obstruction |
Renal artery occlusion or stenosis | Acute interstitial nephritis – drug related | Nephrolithiasis |
ACE inhibitors | Pyelonephritis | |
| ||
Tubular | ||
Acute tubular necrosis: ischemia-reperfusion | ||
Toxin/poison mediated |