Acute Kidney Disease Etiologic Evaluation

Authored by Sourabh Sharma, published on 2026-11-12 16:26:43.0

  1. Life-Threatening AKI Complication or Urgent Kidney Support Needed?
    • Stabilize and Obtain Emergency Nephrology or Critical Care Support
      • Establish Baseline and Chronicity; Assess SCr/UO Trends, Volume, Exposures, Urine, and Systemic Clues
        • Classify AKI, AKD, or CKD
          • Which Etiologic Category Best Fits the Data?
            • Obtain Bladder Scan or Renal Imaging; Is Obstruction Present?
              • Relieve Obstruction and Obtain Urgent Urology Support
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Which Intrinsic or Systemic AKD Phenotype Predominates?
                • Order Glomerular Serologies and Monoclonal Studies; Is Biopsy Needed?
                  • Obtain Kidney Biopsy With Nephrology After Safety Review
                    • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                      • Recovery, Persistent AKD, or CKD at Follow-Up?
                        • Document Recovery and Continue Risk-Based Kidney Follow-Up
                        • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                        • Classify CKD and Transition to CKD Management
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Evaluate Ischemic, Toxic, Pigment, and Crystal Injury; Is Biopsy Needed?
                  • Obtain Kidney Biopsy With Nephrology After Safety Review
                    • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                      • Recovery, Persistent AKD, or CKD at Follow-Up?
                        • Document Recovery and Continue Risk-Based Kidney Follow-Up
                        • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                        • Classify CKD and Transition to CKD Management
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Review Drugs, Infection, and Autoimmune Clues; Is Biopsy Needed?
                  • Obtain Kidney Biopsy With Nephrology After Safety Review
                    • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                      • Recovery, Persistent AKD, or CKD at Follow-Up?
                        • Document Recovery and Continue Risk-Based Kidney Follow-Up
                        • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                        • Classify CKD and Transition to CKD Management
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Evaluate TMA, Vascular, and Systemic Disease; Is Biopsy Needed?
                  • Obtain Kidney Biopsy With Nephrology After Safety Review
                    • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                      • Recovery, Persistent AKD, or CKD at Follow-Up?
                        • Document Recovery and Continue Risk-Based Kidney Follow-Up
                        • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                        • Classify CKD and Transition to CKD Management
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
            • Correct Hemodynamic Drivers; Did Kidney Function Improve?
              • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                • Recovery, Persistent AKD, or CKD at Follow-Up?
                  • Document Recovery and Continue Risk-Based Kidney Follow-Up
                  • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                  • Classify CKD and Transition to CKD Management
              • Which Intrinsic or Systemic AKD Phenotype Predominates?
                • Order Glomerular Serologies and Monoclonal Studies; Is Biopsy Needed?
                  • Obtain Kidney Biopsy With Nephrology After Safety Review
                    • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                      • Recovery, Persistent AKD, or CKD at Follow-Up?
                        • Document Recovery and Continue Risk-Based Kidney Follow-Up
                        • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                        • Classify CKD and Transition to CKD Management
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Evaluate Ischemic, Toxic, Pigment, and Crystal Injury; Is Biopsy Needed?
                  • Obtain Kidney Biopsy With Nephrology After Safety Review
                    • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                      • Recovery, Persistent AKD, or CKD at Follow-Up?
                        • Document Recovery and Continue Risk-Based Kidney Follow-Up
                        • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                        • Classify CKD and Transition to CKD Management
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Review Drugs, Infection, and Autoimmune Clues; Is Biopsy Needed?
                  • Obtain Kidney Biopsy With Nephrology After Safety Review
                    • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                      • Recovery, Persistent AKD, or CKD at Follow-Up?
                        • Document Recovery and Continue Risk-Based Kidney Follow-Up
                        • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                        • Classify CKD and Transition to CKD Management
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Evaluate TMA, Vascular, and Systemic Disease; Is Biopsy Needed?
                  • Obtain Kidney Biopsy With Nephrology After Safety Review
                    • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                      • Recovery, Persistent AKD, or CKD at Follow-Up?
                        • Document Recovery and Continue Risk-Based Kidney Follow-Up
                        • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                        • Classify CKD and Transition to CKD Management
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
            • Which Intrinsic or Systemic AKD Phenotype Predominates?
              • Order Glomerular Serologies and Monoclonal Studies; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Evaluate Ischemic, Toxic, Pigment, and Crystal Injury; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Review Drugs, Infection, and Autoimmune Clues; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Evaluate TMA, Vascular, and Systemic Disease; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
          • Chronic Abnormality Without Acute Change: Follow CKD Pathway
    • Establish Baseline and Chronicity; Assess SCr/UO Trends, Volume, Exposures, Urine, and Systemic Clues
      • Classify AKI, AKD, or CKD
        • Which Etiologic Category Best Fits the Data?
          • Obtain Bladder Scan or Renal Imaging; Is Obstruction Present?
            • Relieve Obstruction and Obtain Urgent Urology Support
              • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                • Recovery, Persistent AKD, or CKD at Follow-Up?
                  • Document Recovery and Continue Risk-Based Kidney Follow-Up
                  • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                  • Classify CKD and Transition to CKD Management
            • Which Intrinsic or Systemic AKD Phenotype Predominates?
              • Order Glomerular Serologies and Monoclonal Studies; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Evaluate Ischemic, Toxic, Pigment, and Crystal Injury; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Review Drugs, Infection, and Autoimmune Clues; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Evaluate TMA, Vascular, and Systemic Disease; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
          • Correct Hemodynamic Drivers; Did Kidney Function Improve?
            • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
              • Recovery, Persistent AKD, or CKD at Follow-Up?
                • Document Recovery and Continue Risk-Based Kidney Follow-Up
                • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                • Classify CKD and Transition to CKD Management
            • Which Intrinsic or Systemic AKD Phenotype Predominates?
              • Order Glomerular Serologies and Monoclonal Studies; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Evaluate Ischemic, Toxic, Pigment, and Crystal Injury; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Review Drugs, Infection, and Autoimmune Clues; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Evaluate TMA, Vascular, and Systemic Disease; Is Biopsy Needed?
                • Obtain Kidney Biopsy With Nephrology After Safety Review
                  • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                    • Recovery, Persistent AKD, or CKD at Follow-Up?
                      • Document Recovery and Continue Risk-Based Kidney Follow-Up
                      • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                      • Classify CKD and Transition to CKD Management
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
          • Which Intrinsic or Systemic AKD Phenotype Predominates?
            • Order Glomerular Serologies and Monoclonal Studies; Is Biopsy Needed?
              • Obtain Kidney Biopsy With Nephrology After Safety Review
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                • Recovery, Persistent AKD, or CKD at Follow-Up?
                  • Document Recovery and Continue Risk-Based Kidney Follow-Up
                  • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                  • Classify CKD and Transition to CKD Management
            • Evaluate Ischemic, Toxic, Pigment, and Crystal Injury; Is Biopsy Needed?
              • Obtain Kidney Biopsy With Nephrology After Safety Review
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                • Recovery, Persistent AKD, or CKD at Follow-Up?
                  • Document Recovery and Continue Risk-Based Kidney Follow-Up
                  • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                  • Classify CKD and Transition to CKD Management
            • Review Drugs, Infection, and Autoimmune Clues; Is Biopsy Needed?
              • Obtain Kidney Biopsy With Nephrology After Safety Review
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                • Recovery, Persistent AKD, or CKD at Follow-Up?
                  • Document Recovery and Continue Risk-Based Kidney Follow-Up
                  • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                  • Classify CKD and Transition to CKD Management
            • Evaluate TMA, Vascular, and Systemic Disease; Is Biopsy Needed?
              • Obtain Kidney Biopsy With Nephrology After Safety Review
                • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                  • Recovery, Persistent AKD, or CKD at Follow-Up?
                    • Document Recovery and Continue Risk-Based Kidney Follow-Up
                    • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                    • Classify CKD and Transition to CKD Management
              • Serially Reassess SCr/eGFR, Urine Output, Urinalysis, and Proteinuria Through 3 Months
                • Recovery, Persistent AKD, or CKD at Follow-Up?
                  • Document Recovery and Continue Risk-Based Kidney Follow-Up
                  • Persistent AKD: Escalate Nephrology Evaluation Through 3 Months
                  • Classify CKD and Transition to CKD Management
        • Chronic Abnormality Without Acute Change: Follow CKD Pathway
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