Oliguria differential diagnosis: Difference between revisions

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{| class="wikitable"
{| class="wikitable"
! rowspan="4" |Disease
! rowspan="4" |Classification by etiology
! rowspan="4" |Etiology
! colspan="10" |Clinical manifestations
! colspan="10" |Clinical manifestations
! colspan="9" |Paraclinical findings
! colspan="9" |Paraclinical findings
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!Edema
!Edema
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! rowspan="25" |Prerenal
|Alcohol poisoning
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|Aspergillosis
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|Asphyxia
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|Cholera
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|Cirrhosis
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|Congestive Heart Failure
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|Dehydration
- Burns
-Cutaneous loss e.g. sweating
- Inadequate water intake
- Salt-wasting nephropathy
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|Diabetes insipidus
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|Diabetes mellitus
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|Diarrhea and/or vomiting
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|Drugs
-ACEI
-Cyclosporin
-Diuretics
-Digitalis
-Indomethacin
-Tacrolimus
-NSAIDs
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|Esophageal varices bleeding
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|Heart disease
-Congenital
-Acquired
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|Hemorrhage
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|Hemolysis
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|Hepatorenal syndrome
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|Ischemic cardiomyopathy
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|Malignant hypertension
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|Myocarditis
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|Peritonitis
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|Polycythemia
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|Respiratory distress syndrome
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|Shock
- Anaphylactic
- Cardiogenic
-Hypotensive
- Septic
- Toxic
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|Third space losses
- Capillary leak
- Surgery
- Trauma
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|Toxic megacolon
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! rowspan="11" |Intrinsic renal
|Acute tubular necrosis
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|Postrenal
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Revision as of 17:12, 20 April 2018

Oliguria Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Oliguria from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

Endoscopy

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Oliguria differential diagnosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Oliguria differential diagnosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Oliguria differential diagnosis

CDC on Oliguria differential diagnosis

Oliguria differential diagnosis in the news

Blogs on Oliguria differential diagnosis

Directions to Hospitals Treating Oliguria

Risk calculators and risk factors for Oliguria differential diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]


An expert algorithm to assist in the diagnosis of oliguria can be found here

Overview

There are several life-threatening causes of oliguria which need to be evaluated for first, which include; sepsis, urethral stricture, dehydration and shock . The other possible causes of oliguria can be evaluated by carefully assessing the nature of the symptoms, and obtaining a thorough patient history.

Differential Diagnosis

Life Threatening Causes

Life threatening diseases to exclude immediately include:[1][2]

  • Cardiogenic shock
  • Hypovolemic shock
  • Sepsis
  • Malignant hypertension
  • Perinatal asphyxia
  • Haemorrhage
  • Bleeding esophageal varices
  • Dehydration

Common Causes

  • Acute tubular necrosis
  • Renal vein thrombosis
  • Benign prostatic hyperplasia
  • Nephrotic syndrome
  • Glomerulonephritis
  • Interstitial nephritis

Differential Diagnosis of Back Pain

The following table outlines the major differential diagnoses of back pain.

Classification by etiology Etiology Clinical manifestations Paraclinical findings Comments
Symptoms and signs Lab findings Imaging
CBC KFT Electrolytes Urine analysis ABG Ultrasound X-ray CT MRI
Fatigue/Lethargy Thirst DIzziness/Confusion Muscle weakness/cramp Somatic/visceral pain Vomiting Diarrhea Tachypnea Haematuria/Proteinuria Edema
Prerenal Alcohol poisoning
Aspergillosis
Asphyxia
Cholera
Cirrhosis
Congestive Heart Failure
Dehydration

- Burns

-Cutaneous loss e.g. sweating

- Inadequate water intake

- Salt-wasting nephropathy

Diabetes insipidus
Diabetes mellitus
Diarrhea and/or vomiting
Drugs

-ACEI

-Cyclosporin

-Diuretics

-Digitalis

-Indomethacin

-Tacrolimus

-NSAIDs

Esophageal varices bleeding
Heart disease

-Congenital

-Acquired

Hemorrhage
Hemolysis
Hepatorenal syndrome
Ischemic cardiomyopathy
Malignant hypertension
Myocarditis
Peritonitis
Polycythemia
Respiratory distress syndrome
Shock

- Anaphylactic

- Cardiogenic

-Hypotensive

- Septic

- Toxic

Third space losses

- Capillary leak

- Surgery

- Trauma

Toxic megacolon
Intrinsic renal Acute tubular necrosis
Postrenal

References

  1. ↑ Anderson RJ, Linas SL, Berns AS, Henrich WL, Miller TR, Gabow PA, Schrier RW (May 1977). "Nonoliguric acute renal failure". N. Engl. J. Med. 296 (20): 1134–8. doi:10.1056/NEJM197705192962002. PMID 854045.
  2. ↑ Dixon BS, Anderson RJ (August 1985). "Nonoliguric acute renal failure". Am. J. Kidney Dis. 6 (2): 71–80. PMID 3895901.


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