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. 2015 Jul;7(2):75–86. doi: 10.5249/jivr.v7i2.615

Table 1. Events leading to AKI induction.

Site Trigger
Pre-renal - Volume depletion due to hemorrhage, severe vomiting or diarrhea, burns
- Edema due to cardiac failure, cirrhosis, nephrotic syndrome
- Hypotension due to cardiogenic shock, sepsis, anaphylaxis
- Cardiovascular due to severe cardiac failure, arrhythmias
- Renal hypoperfusion induced by non-steroidal anti-inflammatory drugs (NSAIDs) or specific enzyme inhibitors or receptor blockers involved in the renin-angiotensin axis, abdominal aortic aneurysm, renal artery stenosis or occlusion, hepatorenal syndrome
Renal - Glomerular disease due to inflammation (glomerulonephritis), thrombosis, hemolytic uraemic syndrome
- Tubular injury due to acute tubular necrosis following prolonged ischaemia, and nephrotoxins such as aminoglycosides, radiocontrast media, cisplatin, heavy metals
- Acute interstitial nephritis due to drugs (e.g. NSAIDs), infection or autoimmune diseases
- Vascular disease including vasculitis, cryoglobulinaemia, polyarteritis nodosa, thrombotic microangiopathy, cholesterol emboli, renal artery stenosis, renal vein thrombosis, malignant hypertension
- Eclampsia
Post-renal - Urinary tract obstructions due to Calculus formation (i.e. kidney stones), urethral stricture, prostatic hypertrophy or malignancy, blood clot
- Papillary necrosis
- Bladder tumor
- Radiation and retroperitoneal fibrosis
- Pelvic malignancy