Ischemic ATN occurs when the tubular cells do not get enough oxygen, a condition that they are highly sensitive and susceptible to, due to their very high metabolism. Diagnosis. Acute tubular necrosis is classified as a renal (i.e. not pre-renal or post-renal) cause of acute kidney injury. Diagnosis is made by a FENa (fractional excretion of sodium) > 3% and presence of muddy casts (a type of granular cast) in urinalysis.
A Rhyming Couplet is two line of the same length that rhyme and complete one thought. There is no limit to the length of the lines. Rhyming words are words that sound the same when spoken, they don't necessarily have to be spelt the same.
Report Abuse. The clerihew consists of two rhyming couplets which purport to sum up the life and works of a famous person. Exaggeration, wilful misunderstanding, and even complete fabrication or character assassination, are permitted, and perhaps encouraged. The first line is always the person's name.aabb is just two rhyming couplets. The purpose of a couplet at the end of a sonnet (typical of the English sonnet, as opposed to the Petrarchan sonnet) is to end on a final twist (or volta, as it is called in Italian).eport Abuse. The clerihew consists of two rhyming couplets which purport to sum up the life and works of a famous person. Exaggeration, wilful misunderstanding, and even complete fabrication or character assassination, are permitted, and perhaps encouraged. The first line is always the person's name.