Mortality rates for AKI have changed little since the advent of dialysis and have remained at 50%. This curious statistic simply reflects the changing demographics of AKI from community – to hospital – acquired settings. Currently, the mortally rate for hospital – acquired AKI is reported to be as high as 70% and is directly correlated to the severity of the patient’s other disease process. A Hospital based Prospective study was conducted in Department of General Medicine for a 2 year period after taking approval from Hospital Ethics and Research Committee. Urine Albumin was present in 31 (29.8%) patients while pus cells and RBC was present in 17 (16.3%) and 10 (9.6%) patients. Mean S. urea level on admission was 98.05 mg, at discharge it was 53.53 mg. The difference at admission, discharge and was statistically significant.