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Research draft

kidney failure

vr.tr.kidney-failure · INF.KNW

Let an agent explain kidney failure and its acute and chronic forms in general terms from nephrology guidelines, describe causes, staging, treatment and prevention, identify emergencies, and route personal questions to clinicians.

Thing Registry Information and virtual systems

Research draft, second pass

A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.

written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify

Researched by: Claude

Purpose and description

Let an agent explain kidney failure and its acute and chronic forms in general terms from nephrology guidelines, describe causes, staging, treatment and prevention, identify emergencies, and route personal questions to clinicians.

A condition in which the kidneys lose the ability to filter waste and regulate fluid and electrolytes, occurring acutely as acute kidney injury from causes such as dehydration, sepsis, toxins or muscle breakdown as in myoglobinuric renal failure, or chronically as chronic kidney disease and chronic renal insufficiency from diabetes, hypertension, glomerular disease or chronic tubulointerstitial nephritis, progressing in the worst cases to end-stage kidney disease requiring dialysis or transplantation; kidney failure is diagnosed by blood and urine tests and staged by filtration rate.

What it is for: Not applicable; a disease state.

It can be explain acute and chronic forms; relay causes and staging; relay treatment and prevention; route emergencies and personal questions.

Distinguishing features

Reduced filtration

Acute and chronic forms

Staged by eGFR

Dialysis and transplant

What it looks like

Not a visible object; abnormal blood tests, swelling and reduced urine.

Physical character

chronic kidney disease prevalence: about 10 percent - of adults worldwide

CKD stages: 5 count - by eGFR

people on dialysis worldwide: about 3-4 million - estimates

How it is recognised

Loss of kidney filtering function

Acute kidney injury, chronic kidney disease, end-stage kidney disease; myoglobinuric and other specific causes

Kidney stones and infections may cause but are not failure; some registry aliases such as lipodermatosclerosis are unrelated skin conditions

Related models

is a kind of - in registry terms

impaired renal function disease

is a kind of - in registry terms, in its chronic form

chronic renal disease

is a kind of - in registry terms

urological symptom

is treated by - and kidney transplantation

dialysis

In practice

Families and kinds

acute kidney injury including prerenal, intrinsic and postrenal causes and myoglobinuric renal failure

chronic kidney disease stages 1 to 5

end-stage kidney disease

causes such as diabetic and hypertensive nephropathy, glomerulonephritis and chronic tubulointerstitial nephritis

kidney failure in pregnancy and after obstetric complications

Identifiers

ICD-11 GB60-GB61 acute kidney failure and chronic kidney disease

MeSH D051437 renal insufficiency

Standards and regulation

KDIGO guidelines on acute kidney injury and chronic kidney disease

National nephrology guidelines

Organ donation and transplant regulation

Failure modes and hazards

Missed acute kidney injury

Nephrotoxic drug use

Agents giving personal medical advice

Registry aliases naming unrelated conditions

Also called

abortion complicated by renal failuremyoglobinuric renal failureacute kidney injurychronic renal insufficiencylipodermatosclerosischronic tubulointerstitial nephritiscrush kidneyacute renal failure with lesion of renal medullary necrosisshock kidneyacute kidney tubular necrosishepatorenal syndromeacute renal failure with lesion of renal cortical necrosispostpartum acute renal failureUddanam nephropathyChronic kidney disease in catschronic kidney disease of uncertain etiologyend stage renal failurechronic kidney disease-mineral and bone disorderchronic hepatic porphyriachronic kidney failure

Where this came from

wikidata · CC0 1.0

Drafted structure

Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.

Help Urgent signs first.

Safety.

Urgent

Emergency signs.

Urgent

Urgent.

  1. Which signs, such as very little urine, severe swelling, breathlessness, confusion or chest pain, need emergency care? action
  2. Is the user describing such signs, which need emergency services now? boundary

Care

Getting assessed.

Care

Care.

  1. How is kidney function assessed with eGFR, creatinine and urine tests, in general terms? provenance
  2. Is the user asking about their own results, which need a clinician? boundary
Understand The condition.

Clinical.

Forms

Acute and chronic.

Forms

Forms.

  1. What are acute kidney injury and chronic kidney disease, and how are they staged? definition
  2. Is the question about kidney failure or another kidney condition? boundary

Causes

Causes.

Causes

Causes.

  1. What causes kidney failure, from diabetes and hypertension to sepsis, toxins and myoglobinuria? provenance
  2. Which entry fits the specific cause? action
Treat Treatment and prevention.

Clinical.

Treatment

Treatment.

Treatment

Treatment.

  1. What treatments do guidelines recommend, from managing causes and medication to dialysis and transplant, in general terms? provenance
  2. Which references are standard? provenance

Prevention

Prevention and slowing.

Prevention

Prevention.

  1. How can kidney failure be prevented or slowed, per guidelines? provenance
  2. Which sources are cited? provenance
Context Epidemiology and research.

Context.

Epidemiology

Epidemiology.

Epidemiology

Epidemiology.

  1. How common is kidney disease worldwide, and how does access to dialysis vary? provenance
  2. Which entry fits global kidney health? action

Research

Research.

Research

Research.

  1. What research addresses new drugs, artificial kidneys and xenotransplantation, with findings attributed? provenance
  2. Which entry fits nephrology research? action

What the second pass must settle

  • Should acute kidney injury and chronic kidney disease be separate primary entries?
  • How should guidelines be linked?
  • The registry entry has merged aliases including an unrelated skin condition; should they be corrected?