Table 1 Examples of abnormal test results affecting AKI diagnosis or management
Abnormal Test | Examples of Affecting AKI Diagnosis or Management |
|---|---|
Urine and Blood Tests | |
U Eos | • Subsequent diagnosis of acute interstitial nephritis • Renal biopsy to evaluate for interstitial nephritis • Withdrawal of offending medication for interstitial nephritis • Treatment with glucocorticoids |
SPEP and SFLCs | • Subsequent diagnosis of multiple myeloma, Waldenstrom’s Macroglobulinemia, or other paraprotein-related disorder involving the kidneys • Additional testing such as renal biopsy, bone marrow biopsy, or skeletal survey • Treatment with intravenous fluids, glucocorticoids, or chemotherapy |
ANCA | • Subsequent diagnosis of ANCA vasculitis involving the kidneys • Additional testing such as renal biopsy or skin biopsy • Treatment with glucocorticoids, cyclophosphamide, rituximab, or plasmapheresis |
Cryo | • Subsequent diagnosis of cryoglobulinemia involving the kidneys • Additional testing such as renal biopsy • Treatment with glucocorticoids, cyclophosphamide, rituximab, or plasmapheresis |
Radiology Tests | |
Renal ultrasound and CTAP | • Placement of a foley catheter • Placement of a percutaneous nephrostomy tube • Ureteral stone removal • Ureteral stent placement |