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Patent Pending Acute kidney injury (AKI), previously called acute renal failure (ARF),[1][2] is an abrupt loss of kidney function that develops within 7 days.[3] Its causes are numerous. Generally it occurs because of damage to the kidney tissue caused by decreased renal blood flow (renal ischemia) from any cause (e.g. low blood pressure), exposure to substances harmful to the kidney, an inflammatory process in the kidney, or an obstruction of the urinary tract which impedes the flow of urine.