urnout is not a synonym for tiredness. The practical lesson is to distinguish circumstantial stress from existential burnout, ask where repeated value conflict is occurring, and screen for depression when symptoms persist instead of defaulting to resilience advice alone.

Begin AKI with bladder scan and urinalysis before broad testing. Severe renal failure with anaemia, thrombocytopenia, schistocytes, hypertension, and proteinuria should trigger urgent concern for thrombotic microangiopathy, while dialysis decisions still follow AEIOU indications rather than the creatinine alone.