This document provides an overview of acute renal failure (ARF), also known as acute kidney injury (AKI). It defines ARF, discusses epidemiology and etiology. For etiology, it distinguishes between pre-renal, renal, and post-renal causes of ARF and lists examples for each. It describes the clinical features, diagnosis, and management of ARF, including treatment and indications for renal replacement therapy. ARF is generally reversible if the underlying cause is addressed promptly. Differentiating between pre-renal, renal and post-renal ARF involves considering history, physical exam findings, lab tests and urine analysis.