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While the definitions and classification system discussed in Chapter 2.1 provide a framework for the clinical diagnosis of AKI, they should not be interpreted to replace or to exclude clinical judgment. While the vast majority of cases will fit both AKI diagnostic criteria as well as clinical judgment, AKI is still a clinical diagnosis—not all cases of AKI will fit within the proposed definition and not all cases fitting the definition should be diagnosed as AKI. However, exceptions should be very rare.
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