Finding | Acute kidney injury (AKI) | Chronic kidney disease |
Serum BUN and Cr | Progressive rise in BUN and Cr | Stable elevated BUN and Cr |
Historical clues | Positive history for AKI etiology (eg, recent streptococcal infection: poststreptococcal glomerulonephritis) | History of chronic hypertension |
Growth | Normal growth | Impaired growth |
Bone status | Normal bones | Evidence of renal osteodystrophy: History of fractures, abnormal tibial torsion |
Urine sediment | No broad urinary casts | Broad waxy urinary casts |
Hematocrit | Anemia usually mild | Anemia usually severe |
Renal ultrasound | Normal or enlarged kidney size | Small shrunken kidneys |
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