Sandbox: sadaf: Difference between revisions
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! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | ||
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! rowspan=" | ! rowspan="24" style="background: #DCDCDC; padding: 5px; text-align: center;" |Prerenal causes | ||
! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Alcohol poisoning]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Alcohol poisoning]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | + | | style="background: #F5F5F5; padding: 5px; text-align: center;" | + | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Thiamine]] must be given to prevent [[Wernicke's encephalopathy]] | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Thiamine]] must be given to prevent [[Wernicke's encephalopathy]] | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Aspergillosis|'''Aspergillosis''']] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Aspergillosis|'''Aspergillosis''']] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Polymerase chain reaction|Polymerase chain reaction (PCR)]] | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Polymerase chain reaction|Polymerase chain reaction (PCR)]] | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cholera|'''Cholera''']] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cholera|'''Cholera''']]<ref name="pmid4809112">{{cite journal |vauthors=Cash RA, Music SI, Libonati JP, Snyder MJ, Wenzel RP, Hornick RB |title=Response of man to infection with Vibrio cholerae. I. Clinical, serologic, and bacteriologic responses to a known inoculum |journal=J. Infect. Dis. |volume=129 |issue=1 |pages=45–52 |date=January 1974 |pmid=4809112 |doi= |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Congestive heart failure]] (CHF) | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Congestive heart failure]] (CHF) | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Dehydration]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Dehydration]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Diarrhea]] and/or [[vomiting]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Diarrhea]] and/or [[vomiting]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Drugs]]/[[Toxin|toxins]] | ! | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Drugs]]/[[Toxin|toxins]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Esophageal varices|'''Esophageal varices bleeding''']] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Esophageal varices|'''Esophageal varices bleeding''']] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Heart disease]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Heart disease]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
|- | |- | ||
! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hemorrhage]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hemorrhage]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hemolysis]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hemolysis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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! align="center" style="background:#4479BA; color: #FFFFFF;" |Comments | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Comments | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hepatorenal syndrome]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hepatorenal syndrome]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cardiomyopathy|Ischemic cardiomyopathy]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cardiomyopathy|Ischemic cardiomyopathy]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Liver cirrhosis]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Liver cirrhosis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |Irreversible and a transplant is usually needed | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Irreversible and a transplant is usually needed | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malignant hypertension]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malignant hypertension]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| - | | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Myocarditis]] | ! | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Myocarditis]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Peritonitis]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Peritonitis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Polycythemia]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Polycythemia]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Phlebotomy]] is the usual treatment | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Phlebotomy]] is the usual treatment | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Respiratory distress syndrome]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Respiratory distress syndrome]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Shock]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Shock]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Toxic megacolon]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Toxic megacolon]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
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! align="center" style="background:#4479BA; color: #FFFFFF;" |Comments | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Comments | ||
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! rowspan=" | ! rowspan="11" style="background: #DCDCDC; padding: 5px; text-align: center;" |Renal causes | ||
! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Acute interstitial nephritis]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Acute interstitial nephritis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |History of long term [[analgesic]] use | | style="background: #F5F5F5; padding: 5px; text-align: center;" |History of long term [[analgesic]] use | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Acute tubular necrosis]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Acute tubular necrosis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Furosemide]] stress testing for staging | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Furosemide]] stress testing for staging | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cancer]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cancer]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Renal cell carcinoma]] types: [[Clear cell]] (75%), Chromophilic (15%), [[Chromophobic]] (5%), [[Oncocytoma]] (3%), [[Collecting duct]] (2%) | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Renal cell carcinoma]] types: [[Clear cell]] (75%), Chromophilic (15%), [[Chromophobic]] (5%), [[Oncocytoma]] (3%), [[Collecting duct]] (2%) | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Congenital disease|'''Congenital kidney disease''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Congenital disease|'''Congenital kidney disease''']] | ||
- [[Agenesis]] | - [[Agenesis]] | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[End stage renal disease]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[End stage renal disease]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Toxin|'''Endogenous toxins''']] | ! | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Toxin|'''Endogenous toxins''']] | |||
- [[Hemoglobin]] | - [[Hemoglobin]] | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Glomerulonephritis]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Glomerulonephritis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |Renal [[biopsy]], Light and electron microscopy, Immunofluorescence aid diagnosis | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Renal [[biopsy]], Light and electron microscopy, Immunofluorescence aid diagnosis | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Goodpasture syndrome]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Goodpasture syndrome]] | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hemolytic uremic syndrome]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hemolytic uremic syndrome]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
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! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Nephrolithiasis]] | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Nephrolithiasis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Intravenous pyelogram|Intravenous pyelography (IVP)]], [[Tomography|Renal tomography]], Nuclear renal scan | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Intravenous pyelogram|Intravenous pyelography (IVP)]], [[Tomography|Renal tomography]], Nuclear renal scan | ||
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Revision as of 15:55, 23 July 2018
Differential Diagnosis
Abbreviations: ABG = Arterial blood gases, BUN = Blood urea nitrogen, CBC = Complete blood count, CT = Computed tomography, CRP = C - reactive protein, ECG = Electrocardiogram, ESR = Erythrocyte sedimentation rate, IVP = Intravenous pyelography, KFT = Kidney function test, GI = Gastrointestinal, GFR = Glomerular filtration rate, MRI = Magnetic resonance imaging, PT = Prothrombin time
Etiology | Clinical manifestations | Paraclinical findings | Comments | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms and signs | Lab findings | Imaging | ||||||||||||||||||||
Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | |||
Prerenal causes | Alcohol poisoning | + | - | +/- | - | +/- | + | +/- | - | - | ↑PT | ↑BUN, ↑Cr (isopropyl alcohol) | ↓Na | Not applicable | ↓HCO3 | LFT | Not applicable | Not applicable | Not applicable | Not applicable | - | Thiamine must be given to prevent Wernicke's encephalopathy |
Aspergillosis | +/- | - | - | - | - | - | - | +/- | - | Not applicable | Not applicable | Not applicable | Not applicable | Not applicable | Allergy test, ↑IgE (>1000 IU/dl), Direct visualization of fungal hyphae | Not applicable | Pulmonary infiltrates, Mucus plug, Mass in the upper lobe surrounded by a crescent of air, Solitary or multiple cavities | Halo sign, Wedge-shaped pulmonary infarction, Granuloma | Not applicable | - | Polymerase chain reaction (PCR) | |
Cholera[1] | +/- | + | - | - | - | +/- | + | - | - | Leukocytosis, ↑HCT | ↑BUN, ↑Cr | ↓Na, ↑Ca, ↑Mg | Not applicable | ↑Lactate, ↓HCO3 | Stool PCR, Stool culture, Serotyping | Not applicable | Not applicable | Not applicable | Not applicable | - | - | |
Congestive heart failure (CHF) | + | - | - | - | - | - | + | - | + | Anemia, Leukocytosis | ↑BUN, ↑Cr | ↓Na, ↑K | Not applicable | ↑Lactate, ↓HCO3, | ↑BNP, ↑Troponin | Cardiomegaly, Pulmonary hypertension, Pleural effusions | Pulmonary edema | Not applicable | Valvular heart disease | Decreased ejection fraction in echocardiography, Heart function and damage in nuclear imaging | - | |
Dehydration | + | + | - | +/- | - | +/- | +/- | - | - | Not applicable | ↑BUN, ↑Cr | ↓Na, ↑K, ↓Cl | Ketones and glucose, ↑Urine specific gravity | ↑Lactate, ↓HCO3 | Hypoglycemia | Not applicable | Not applicable | Not applicable | Not applicable | - | - | |
Diarrhea and/or vomiting | +/- | +/- | - | - | - | + | + | - | - | Leukocytosis with predominant neutrophilia, ↑ ESR | Not applicable | Not applicable | Ketones, Organic acids, Porphobilinogen, Aminolevulinic acid | Not applicable | Stool anion gap, Stool pH < 5.5, Stool culture, Serotyping, Enzyme immunoassay (rotavirus or adenovirus), LFT, Amylase, Lipase | Normal | Not applicable | Not applicable | Not applicable | - | - | |
Drugs/toxins | +/- | +/- | +/- | +/- | +/- | +/- | +/- | +/- | +/- | Not applicable | ↑BUN, ↑Cr, ↑CK | ↑K, ↓Mg, ↓Ca, ↓P | Ingested drug, Glucose, Aminoacid, Phosphate, Ketone, Hyaline cast, RBC | ↑Lactate, Metabolic acidosis | Toxicology, Rapid immunoassay | Nephropathy | Radioopaque substances, Ingested drug packets | Not applicable | Not applicable | - | - | |
Esophageal varices bleeding | +/- | - | - | - | +/- | - | - | - | - | Normocytic normochromic anemia | ↑BUN, ↑Cr | Not applicable | Not applicable | Not applicable | Not applicable | Velocity and direction of portal flow | Abnormal opacities outside ofesophageal wall, Posterior mediastinal or intraparenchymal mass, Dilated azygous vein | Entire portal venous system | Portrays esophageal varices as flow voids | Portal hypertension and esophageal varices in positron emission tomography, Flexible endoscope, Barium swallow of snake-like filling defects | - | |
Heart disease | +/- | - | - | - | - | - | - | +/- | +/- | ↑ESR and CRP | ↑BUN, ↑Cr | Not applicable | Not applicable | Not applicable | Throat culture, Rapid streptococcal antigen test, Hyperoxia test, Pulse oximetry | Not applicable | Cardiomegaly, Dextrocardia | Not applicable | Not applicable | Ventricular dysfunction, Left and right ventricular hypertrophy, Valvular disease in echocardiography | - | |
Hemorrhage | - | - | - | - | - | - | - | - | - | Normocytic normochromic anemia, ↑PT, ↑PTT | ↑BUN, ↑Cr | ↑Na, ↑Cl, ↓Ca | Not applicable | Metabolic acidosis | Not applicable | Peritoneal cavity fluid in FAST | Bilateral opacities in the lung field, Hemothorax, Hemoperitoneum, Ruptured abdominal aortic aneurysm | Intrathoracic, intra-abdominal, and retroperitoneal bleeding | Not applicable | Source of bleeding in the upper GI in EGD, Angiography | - | |
Hemolysis | +/- | - | - | - | - | - | - | - | - | Thrombocytopenia, Microcytic hypochromic anemia, ↑RDW, ↑Retic count | Not applicable | Not applicable | Not applicable | Not applicable | ↑LDH, ↓Haptoglobin, ↑Unconjugated bilirubin | Hepatomegaly,Splenomegaly | Not applicable | Not applicable | Not applicable | - | - | |
Etiology | Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | Comments | |
Hepatorenal syndrome | +/- | - | - | - | +/- | +/- | - | - | +/- | Leukocytosis, ↑PT | ↓GFR, ↑BUN, ↑Cr | ↓Na | Proteinuria, Na < 10 mEq/L, Urine osmolality > plasma osmolality | Not applicable | Alpha feto-protein, Cryoglobulinemia | Exclude hydronephrosis and intrinsic renal disease | Not applicable | Not applicable | Not applicable | Right ventricular preload, ventricular filling pressures, and cardiac function in echocardiography | - | |
Ischemic cardiomyopathy | +/- | - | - | - | - | - | - | +/- | +/- | Anemia | ↑Cr | ↓Na, ↓K, ↓Mg | Not applicable | Not applicable | Troponin, Creatine kinase, Creatine kinase - MB, BNP | Not applicable | Abnormal cardiac silhouette | Biventricular volume, Wall motion abnormality, Myocardial perfusion, Hypertrophic cardiomyopathy | Mid-wall fibrosis in MRI | Ejection fraction ≤35%, Pulmonary embolism, Right ventricular dilation or pericardial effusion with tamponade in echocardiography | - | |
Liver cirrhosis | +/- | - | +/- | +/- | +/- | - | - | - | +/- | Not applicable | Not applicable | Not applicable | Not applicable | Not applicable | LFT, Aspartate aminotransferase to platelet ratio, FibroTest/FibroSure, Hepascore, FibroSpectatio | Portal blood flow velocity, Hepatic artery enlargement, Multifocal lesions or masses, Hepatic contour, Ascites, Splenomegaly | Bowel perforation, Gynecomastia, Azygos vein enlargement, Pleural effusion | Morphologic changes in the liver, Collaterals and shunts, Hyperattenuating nodule of hepatocellular carcinoma, Portal vein thrombosis | Vacular patency, Tumor invasion, Portal vein thrombosis, Steatosis | Hepatic function and portal hypertension in nuclear imaging, Hepatic perfusion and the development of shunts and tumors in angiography | Irreversible and a transplant is usually needed | |
Malignant hypertension | +/- | - | + | - | - | +/- | - | +/- | +/- | Microangiopathic hemolytic anemia | ↑BUN, ↑Cr | ↑Na, ↑K, ↑P | Proteinuria, Microscopic hematuria | Acidosis | Cardiac enzymes, Urinary catecholamines, TSH, ↑Renin | Not applicable | Cardiomegaly, Pulmonary edema, Rib notching, Aortic coarctation, Mediastinal widening, Aortic dissection | Not applicable | Not applicable | Left atrial enlargement and left ventricular hypertrophy in echocardiography | - | |
Myocarditis | +/- | - | - | - | +/- | - | - | +/- | - | Leukocytosis (eosinophilia),↑ESR and CRP | Not applicable | Not applicable | Not applicable | Not applicable | Cardiac enzymes, Viral antibodies | Not applicable | Not applicable | Not applicable | Inflammatory edema, Degree of scarring | Endomyocardial biopsy, Echocardiography, Scintigraphy | Not applicable | |
Peritonitis | +/- | - | +/- | - | +/- | +/- | +/- | - | - | Leukocytosis | Not applicable | Not applicable | Not applicable | Not applicable | Ascitic fluid neutrophil count > 500 cells/µL | Not applicable | Not applicable | Not applicable | Not applicable | - | - | |
Polycythemia | +/- | - | - | - | - | - | - | +/- | - | ↑RBC, ↑HCT, ↑HGB, Thrombocytosis, Leukocytosis, ↑PT and aPTT | ↓Erythropoietin | Not applicable | Not applicable | Not applicable | Hyperuricemia | Splenomegaly | Not applicable | Not applicable | Not applicable | - | Phlebotomy is the usual treatment | |
Respiratory distress syndrome | + | - | +/- | - | - | - | - | + | - | Not applicable | Not applicable | Not applicable | Not applicable | Metabolic and respiratory acidosis | Pulse oximetry | Not applicable | Bilateral, diffuse, reticular granular or ground-glass appearance +/- Cardiomegaly | Not applicable | Not applicable | Patent ductus arteriosus in echocardiography | - | |
Shock | +/- | +/- | +/- | +/- | +/- | +/- | - | +/- | - | ↑HCT, ↑PT and aPTT, Eosinophilia, Leukocytosis | ↓GFR, ↑BUN, ↑Cr | Not applicable | Not applicable | ↑Lactate | LFT, ↑BNP, ↑Troponin, D-dimer, Fibrinogen | Pulmonary embolism, Pericardial effusion, Cardiac tamponade, Pneumothorax, Thoracic or abdominal aortic aneurysm in RUSH (Rapid Ultrasound for Shock and Hypotension) | Pneumonia, Pneumothorax, Pulmonary edema, Widened mediastinum, Free air under the diaphragm | Traumatic brain injury, Stroke, Spinal injury, Pneumonia, Pneumothorax, Ruptured aneurysm, Aortic dissection, Pulmonary embolism | Not applicable | - | - | |
Toxic megacolon | +/- | +/- | +/- | - | + | + | +/- | - | - | Leukocytosis, Anemia, ↑ESR and CRP | ↑BUN, ↑Cr | ↓Na | Not applicable | Not applicable | Loss of haustra, Hypoechoic and thick bowel walls, Dilated colon > 6cm, Dilatation of ileal loops | Dilated colon, Free intraperitoneal air | Bowel perforation, Abscess | Not applicable | Not applicable | Endoscopy and colonoscopy | - | |
Etiology | Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | Comments | |
Renal causes | Acute interstitial nephritis | +/- | - | +/- | - | +/- | +/- | +/- | +/- | +/- | Eosinophilia | ↑BUN, ↑Cr, ↑FENa | Not applicable | Eosinophiluria, Sterile pyuria, Microscopic hematuria, Proteinuria | Not applicable | ↑Total IgG, ↑IgG4 | Normal-sized kidneys | Not applicable | Not applicable | Not applicable | - | History of long term analgesic use |
Acute tubular necrosis | +/- | - | - | - | - | +/- | - | - | +/- | Anemia | ↑BUN, ↑Cr, ↑FENa | ↓Na, ↑K, ↑Mg, ↑P, ↓Ca | Pigmented, muddy brown, granular casts | Not applicable | Not applicable | Obstructive uropathy, Renal size, Cortical thickness, Hydronephrosis | Nephrolithiasis | Nephrolithiasis, Area of obstruction | Nephrolithiasis, Area of obstruction | Loss of tubular cells or the denuded tubules, Swollen tubular cells, Loss of the cell brush border in renal biopsy | Furosemide stress testing for staging | |
Cancer | + | - | - | - | +/- | +/- | - | - | +/- | Normocytic or microcytic anemia, Leukocytosis or lymphocytosis, ↑Reticulocytes, Thrombocytopenia | ↓GFR, ↑BUN, ↑Cr, ↓Erythropoietin | ↓Na, ↑K, ↓Mg, ↑P, ↓Ca | Gross hematuria | Not applicable | LFT | Fluid collection and morphological change, Flank mass | Calcification and widened mediastinum, Filling defects in barium contrast | Metastasis and staging, Cystic and solid masses, Lymph node, renal vein, and inferior vena cava involvement | Soft tissue invasion and staging | Malignant cystic lesions percutaneous cyst puncture | Renal cell carcinoma types: Clear cell (75%), Chromophilic (15%), Chromophobic (5%), Oncocytoma (3%), Collecting duct (2%) | |
Congenital kidney disease
- Agenesis |
+/- | - | - | - | +/- | +/- | - | - | +/- | ↑HCT | ↓GFR | ↓P, ↓Ca | Microalbuminuria, Uricosuria | Not applicable | Genetic testing forADPKD2 | Visualization of kidney cysts | Small kidney cysts (0.5 cm) | Kidney size, Intracranial aneurysms | Not applicable | - | - | |
End stage renal disease | + | - | - | - | +/- | - | - | - | + | Anemia | ↓GFR, ↑BUN, ↑Cr | ↑K | Hypoalbuminuria | ↓HCO3 | Phosphate, 25-hydroxy vitamin D, Alkaline phosphatase, Parathyroid hormone | Hydronephrosis, Retroperitoneal fibrosis, Enlarged or shrunken kidneys | Renal masses, stones, and cysts | Renal vein thrombosis, Renal artery stenosis in magnetic resonance angiography | Percutaneous renal biopsy | - | ||
Endogenous toxins | +/- | - | +/- | + | - | +/- | - | - | +/- | Anemia, Thrombocytopenia | ↓GFR, ↑BUN, ↑Cr | ↑K, ↑Urate, ↓Ca | Uricosuria, Hematuria, Myoglobinuria, Casts | Not applicable | Creatine kinase > 1000 U/L | Malignant or cystic lesions, Hydronephrosis, Nephrocalcinosis, Urolithiasis | Not applicable | Urolithiasis, Wilms tumor, Polycystic kidney disease | Not applicable | Ureter or bladder abnormality in voiding cystourethrography | - | |
Glomerulonephritis | +/- | - | - | - | - | - | - | - | + | Pleocytosis, Anemia, Leukocytosis, ↑ESR | ↑BUN, ↑Cr | Not applicable | Specific gravity > 1.020, Proteinuria, Hematuria, Red blood cell casts, White blood cell casts, Cellular casts, Oval fat bodies | Not applicable | Not applicable | ↑C3, ↑C4, ↑CH50, Blood and tissue culture, Antinuclear antibodies, Cryoglobulins,Hepatitis B and C serologies, Antineutrophil cytoplasmic antibody (ANCA) | Kidney size, Echogenicity of the renal cortex, Obstruction, Degree of fibrosis | Pulmonary congestion | Visceral abscesses | - | Renal biopsy, Light and electron microscopy, Immunofluorescence aid diagnosis | |
Goodpasture syndrome | +/- | - | - | - | - | - | - | +/- | +/- | Anemia, Leukocytosis, ↑ESR | ↑BUN, ↑Cr | Not applicable | Low-grade proteinuria, Gross or microscopic hematuria, RBC casts | Not applicable | Anti– glomerular basement membrane antibody Antineutrophilic cytoplasmic antibody | Not applicable | Bilateral, basal, patchy parenchymal consolidations | Not applicable | Not applicable | Diffuse alveolar hemorrhage in pulmonary biopsy | - | |
Hemolytic uremic syndrome | +/- | - | +/- | +/- | +/- | + | + | - | +/- | Severe anemia, Thrombocytopenia, ↑ aPTT | ↑BUN, ↑Cr | Not applicable | Mild proteinuria, Red blood cells, Red blood cell casts | Not applicable | Schistocytes, ↑FDP and D-dimer, ↑ Bilirubin, ↑LDH, ↓Haptoglobin, Stool culture (for E coli 0157:H7 or shigella), ↓ADAMTS-13 activity | Ruling out obstruction | Not applicable | Not applicable | Not applicable | Diffuse thickening of the glomerular capillary wall, Swelling of endothelial cells, Fibrin thrombi in renal biopsy | - | |
Nephrolithiasis | - | - | - | - | +/- | +/- | - | - | - | Mild leukocytosis, ↑CRP | ↑BUN, ↑Cr | ↑Na, ↑K, ↑P, ↑Ca, ↑Urate | Gross or microscopic hematuria, Red blood cells, Urinary crystals of calcium oxalate, uric acid, or cystine, Hypercalciuria, Urinary pH > 7 in struvite stones (Proteus, Pseudomonas, Klebsiella), Urinary pH < 5 in uric acid stones | ↓HCO3, Renal tubular acidosis | - | All types of stones are visible, Hydronephrosis, Abdominal aortic aneurysm, Cholelithiasis | Calcium - containing stones, Uric acid or cystine stones, Stone movement | Stone density, size and composition, Hydronephrosis, Nephromegaly, Perinephric fat streaking | Not applicable | Intravenous pyelography (IVP), Renal tomography, Nuclear renal scan | - | |