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Both criteria rely on gfr, and its proxy serum creatinine, and urinary output as the most useful overall indices of acute changes of kidney function. Insuficiencia renal aguda y cronica by laura lozano on prezi. Insuficiencia renal aguda segun criterio creatinina irac. Insuficiencia renal cronica, hipertension arterial y gota una enfermedad prevalente caso clinico varon 75 anos, alfarero, consulta por enfermedad renal cronica erc, hta y gota10anos.