Oliguria causes: Difference between revisions

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Revision as of 16:26, 19 July 2013

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Mugilan Poongkunran M.B.B.S [2]

Overview

Oliguria is the low output of urine below 300-500ml/day. The decreased output of urine may be causes by dehydration, renal failure, hypovolemic shock, hyperosmolar nonketotic coma, urinary retention, DKA, preeclampsia, and urinary tract infections among other conditions.

Causes

Life Threatening Causes

Common Causes

Causes by Organ System

Cardiovascular	Accelerated hypertension, acute systemic inflammation after myocardial infarction, aneurysmal rupture, aortic valve ring and critical aortic stenosis, atheroemboli, bleeding, bradyarrhythmias , capillary leak, cardiogenic shock, cholesterol embolism, complete heart block, congenital heart disease, dilated cardiomyopathies, heart failure, heat stroke, hypovolemic shock, malignant hypertension, myocardial stunning, cardiac tamponade, pre-eclampsia, renal artery stenosis, severe constrictive pericarditis, superior mesenteric artery occlusion, vasculitis
Chemical/Poisoning	Camphor, carbon monoxide
Dental	No underlying causes
Dermatologic	Anaphylaxis and anaphylactoid reactions, erythroderma, sweating
Drug Side Effect	ACE inhibitors, amatoxins, aminoglycosides, amphotericin B, analgesic nephropathy, anthracyclines, arsenic trioxide, bacitracin, bendamustine, bleomycin, capecitabine, capreomycin, carbon tetrachloride, carboplatin, carmustine, cidofovir, cisplatin, cyclophosphamide, cyclosporine, cytarabine, deferasirox, etoposide, exenatide, fluconazole, fludarabine, cladribine, gallium, gemcitabine, gyromitrin, hetastarch, hydroxyurea, ifosfamide, immune globulin intravenous injection, irinotecan, lenalidomide, lomustine, malignant hyperpyrexia following anesthesia, mannitol, melphalan, methotrexate, micafungin, mithramycin, nitrosourea compounds, NSAIDs , orellanine, oxaliplatin, para-amino salicylic acid, pemetrexed, pentamidine, pentostatin, polymyxin B, rifampicin, sulfinpyrazone, sulphonamide crystalluria Cacluli, synthetic cannabinoids, tacrolimus, taxanes, telavancin, temozolomide, tenofovir, topotecan, valacyclovir, vancomycin, vinca alkaloids
Ear Nose Throat	No underlying causes
Endocrine	Acute pancreatitis, addisonian crisis, diabetic nephropathy, hypercalciuria, hyperosmolar non-ketotic diabetic coma, hypoaldosteronism, myxedema coma, SIADH
Environmental	Burns, heat stroke, insect bites, snake bite (Viperidae)
Gastroenterologic	Bowel strangulation, colorectal cancer, hepatic vein thrombosis, hepatorenal syndrome, intestinal obstruction, intususception of intestine, acute pancreatitis, retroperitoneal fibrosis, third space losses, upper or lower gastrointestinal bleeding
Genetic	Prune belly syndrome, thrombotic thrombocytopenic purpura, transient renal dysfunction of the newborn
Hematologic	Disseminated intravascular coagulation, expanding hematoma, mismatched blood transfusion, myelomatosis, myoglobinuria, polycythemia, porphyria, renal artery thrombosis, renal vein thrombosis, thrombotic thrombocytopenic purpura, transfusion reactions
Iatrogenic	Diarrhea, external drainage, malignant hyperpyrexia following anesthesia, mismatched blood transfusion, multiple organ dysfunction syndrome, radiotherapy, sweating, systemic inflammatory response syndrome , vomiting
Infectious Disease	Diphtheria, dobrava-Belgrade Virus, endometriosis, endotoxic shock, enteritis, epidemic dropsy, hantavirus, human monocytotropic ehrlichiosis, lassa fever, leptospirosis, malignant malaria, mycobacterium tuberculosis, neisseria gonorrhoea, post-streptococcal glomerulonephritis, schistosoma haematobium, septic shock, systemic inflammatory response syndrome, toxic shock syndrome
Musculoskeletal/Orthopedic	Rhabdomyolysis, cervical spine injury, spinal cord compression, crush syndrome, fractures, massive bleeding, polytrauma
Neurologic	Eclampsia, intraventricular hemorrhage, neurogenic bladder, neurogenic shock after central nervous system or spinal cord injury, prolonged convulsions, spinal cord compression
Nutritional/Metabolic	Adenine phosphoribosyltransferase deficiency, bulimia, cholesterol embolism
Obstetric/Gynecologic	Cervical cancer, endometriosis, hydrometrocolpos, hyperemesis gravidarum, ovarian hyperstimulation syndrome, perinatal asphyxia, postpartum bleeding, pre-eclampsia, Pregnancy toxemia, twin-to-twin transfusion syndrome
Oncologic	Benign prostatic hyperplasia, bladder cancer, leukaemia, myelomatosis, pelvic tumour, prostate cancer, tumor lysis syndrome
Ophthalmologic	No underlying causes
Overdose/Toxicity	Crush syndrome, drug overdose, heavy metal poisoning , heme pigments, myoglobinuria, porphyria, radiocontrast media, rhabdomyolysis, tumor lysis syndrome.
Psychiatric	Bulimia
Pulmonary	Alport syndrome, massive pulmonary embolism, respiratory distress syndrome, respiratory losses , severe pulmonary hypertension, tension pneumothorax
Renal/Electrolyte	Acute cortical necrosis, acute interstitial nephritis, acute on chronic renal failure , acute pyelonephritis, acute renal failure, acute tubular necrosis, addisonian crisis, alport syndrome, analgesic nephropathy, burns, chronic renal failure, end stage kidney disease, glomerulonephritis, hepatic vein thrombosis, hepatorenal syndrome, hydronephrosis, hypoaldosteronism, nephritic syndrome, nephrocalcinosis, nephrolithiasis, nephrotic syndrome, Post-streptococcal glomerulonephritis, renal papillary necrosis, renal vein thrombosis, salt-wasting nephropathies, sulphonamide crystalluria, thrombotic thrombocytopenic purpura
Rheumatology/Immunology/Allergy	Anaphylaxis and anaphylactoid reactions, antiphospholipid Antibody Syndrome, disseminated intravascular coagulation, lichen sclerosus et atrophicus, mismatched blood transfusion, multiple organ dysfunction syndrome, systemic lupus erythematosis, systemic inflammatory response syndrome , transfusion reactions, transplant rejection, vasculitis
Sexual	Benign prostatic hyperplasia, hydrometrocolpos
Trauma	Acute blood loss, crush syndrome, fractures, multiple traumatic injuries, neurogenic bladder, neurogenic shock after central nervous system or spinal cord injury, ruptured hematoma, shock, upper or lower gastrointestinal bleeding
Urologic	Benign prostatic hyperplasia, bladder cancer, bladder outlet obstruction, hydronephrosis, kidney stone, nephrotic syndrome, obstruction of the urinary tract, pelvic tumor, prostate cancer, schistosoma haematobium, sulphonamide crystalluria, ureterocele, urethral catheterization, urethral stricture, urethral trauma
Miscellaneous	Marathon running, post-resustication syndrome, puerperal shock, radiotherapy, surgery complication

Causes in Alphabetical Order

Para-amino salicylic acid
Pelvic tumor
Pemetrexed
Pentamidine
Pentostatin
Pericardial tamponade
Perinatal asphyxia
Polycythemia
Polymyxin B
Porphyria
Postpartum bleeding
Post-resuscitation syndrome
Post-streptococcal glomerulonephritis
Pre-eclampsia
Prolonged convulsions
Prostate cancer
Prune belly syndrome
Puerperal shock
Radiocontrast media
Radiotherapy
Rapidly progressive glomerulonephritis
Renal artery stenosis
Renal artery thrombosis
Renal insufficiency
Renal papillary necrosis
Renal vein thrombosis
Respiratory distress syndrome
Respiratory fluid loss
Retroperitoneal fibrosis
Rhabdomyolysis
Rifampicin
Ruptured hematoma
Salt-wasting nephropathies
Schistosoma haematobium
Septic shock
Severe constrictive pericarditis
Severe pulmonary hypertension
Shock
SIADH
SLE
Snake bite (Viperidae)
Spinal cord compression
Myocardial stunning
Sulfinpyrazone
Sulphonamide crystalluria
Superior mesenteric artery occlusion
Surgery complication
Sweating
Synthetic cannabinoids
Systemic inflammatory response syndrome
Tacrolimus
Taxanes
Telavancin
Temozolomide
Tenofovir
Tension pneumothorax
Third-space sequestration
Thrombotic thrombocytopenic purpura
Topotecan
Toxemia of pregnancy
Toxic shock syndrome
Transfusion reactions
Transient renal dysfunction of the newborn
Transplant rejection
Trauma
Tumor lysis syndrome
Twin-to-twin transfusion syndrome
Upper or Lower gastrointestinal bleeding
Ureterocele
Urethral catheterization
Urethral stricture
Urethral trauma
Valacyclovir
Vancomycin
Vasculitis
Vinca alkaloids
Vomiting

References

Template:WH Template:WS

@@ Line 39: / Line 39: @@
 {|style="width:82%; height:100px" border="1"
 |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
-|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Accelerated hypertension]], [[myocardial infarction|acute systemic inflammation after myocardial infarction]], [[Aneurysm|aneurysmal rupture]], [[Aortic stenosis|aortic valve ring and critical aortic stenosis]], [[Embolism|atheroemboli]], [[bleeding]], [[bradyarrhythmias ]], [[capillary leak]], [[cardiogenic shock]], [[cholesterol embolism]], [[complete heart block]], [[congenital heart disease]], [[Cardiomyopathy|dilated cardiomyopathies]], [[heart failure]], [[heat stroke]], [[hypovolemic shock]], [[malignant hypertension]], [[myocardial stunning]], [[cardiac tamponade]], [[pre-eclampsia]], [[renal artery stenosis]], [[Pericardial constriction|severe constrictive pericarditis]], superior mesenteric artery occlusion, [[vasculitis]]
+|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Accelerated hypertension]], [[myocardial infarction|acute systemic inflammation after myocardial infarction]], [[Aneurysm|aneurysmal rupture]], [[Aortic stenosis|aortic valve ring and critical aortic stenosis]], [[Embolism|atheroemboli]], [[bleeding]], [[bradyarrhythmias ]], [[capillary leak]], [[cardiogenic shock]], [[cholesterol embolism]], [[complete heart block]], [[congenital heart disease]], [[Cardiomyopathy|dilated cardiomyopathies]], [[heart failure]], [[heat stroke]], [[hypovolemic shock]], [[malignant hypertension]], [[myocardial stunning]], [[cardiac tamponade]], [[pre-eclampsia]], [[renal artery stenosis]], [[Pericardial constriction|severe constrictive pericarditis]], [[SMA|superior mesenteric artery occlusion]], [[vasculitis]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 55: / Line 55: @@
 |-bgcolor="LightSteelBlue"
 | '''Drug Side Effect'''
-|bgcolor="Beige"| [[ACE inhibitors]], [[amatoxins]], [[aminoglycosides]], [[amphotericin B]], [[analgesic nephropathy]], [[anthracyclines]], [[arsenic trioxide]], [[bacitracin]], [[bendamustine]], [[bleomycin]], [[capecitabine]], [[capreomycin]], [[carbon tetrachloride]], [[carboplatin]], [[carmustine]], [[cidofovir]], [[cisplatin]], [[cyclophosphamide]], [[cyclosporine]], [[cytarabine]], [[deferasirox]], [[etoposide]], [[exenatide]], [[fluconazole]], [[fludarabine]], [[cladribine]], [[gallium]], [[gemcitabine]], [[gyromitrin]], hetastarch, [[hydroxyurea]], [[ifosfamide]], [[Immune Globulin Intravenous Injection|immune globulin intravenous injection]], [[irinotecan]], [[lenalidomide]], [[lomustine]], [[hyperpyrexia|malignant hyperpyrexia following anesthesia]], [[mannitol]], [[melphalan]], [[methotrexate]], [[micafungin]], [[mithramycin]], [[nitrosourea compounds]], [[NSAIDs ]], [[orellanine]], [[oxaliplatin]], [[para-amino salicylic acid]], [[pemetrexed]], [[pentamidine]], [[pentostatin]], [[polymyxin B]], [[rifampicin]], [[sulfinpyrazone]], [[sulphonamide|sulphonamide crystalluria Cacluli]], [[Cannabinoids|synthetic cannabinoids]], [[tacrolimus]], [[taxanes]], [[telavancin]], [[temozolomide]], [[tenofovir]], [[topotecan]], [[valacyclovir]], [[vancomycin]], [[vinca alkaloids]]
+|bgcolor="Beige"| [[ACE inhibitors]], [[amatoxins]], [[aminoglycosides]], [[amphotericin B]], [[analgesic nephropathy]], [[anthracyclines]], [[arsenic trioxide]], [[bacitracin]], [[bendamustine]], [[bleomycin]], [[capecitabine]], [[capreomycin]], [[carbon tetrachloride]], [[carboplatin]], [[carmustine]], [[cidofovir]], [[cisplatin]], [[cyclophosphamide]], [[cyclosporine]], [[cytarabine]], [[deferasirox]], [[etoposide]], [[exenatide]], [[fluconazole]], [[fludarabine]], [[cladribine]], [[gallium]], [[gemcitabine]], [[gyromitrin]], [[Hydroxyethyl starch|hetastarch]], [[hydroxyurea]], [[ifosfamide]], [[Immune Globulin Intravenous Injection|immune globulin intravenous injection]], [[irinotecan]], [[lenalidomide]], [[lomustine]], [[hyperpyrexia|malignant hyperpyrexia following anesthesia]], [[mannitol]], [[melphalan]], [[methotrexate]], [[micafungin]], [[mithramycin]], [[nitrosourea compounds]], [[NSAIDs ]], [[orellanine]], [[oxaliplatin]], [[para-amino salicylic acid]], [[pemetrexed]], [[pentamidine]], [[pentostatin]], [[polymyxin B]], [[rifampicin]], [[sulfinpyrazone]], [[sulphonamide|sulphonamide crystalluria Cacluli]], [[Cannabinoids|synthetic cannabinoids]], [[tacrolimus]], [[taxanes]], [[telavancin]], [[temozolomide]], [[tenofovir]], [[topotecan]], [[valacyclovir]], [[vancomycin]], [[vinca alkaloids]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 103: / Line 103: @@
 |-bgcolor="LightSteelBlue"
 | '''Obstetric/Gynecologic'''
-|bgcolor="Beige"| [[Cervical cancer]], [[endometriosis]], hydrometrocolpos, [[hyperemesis gravidarum]], [[ovarian hyperstimulation syndrome]], [[perinatal asphyxia]], [[postpartum bleeding]], [[pre-eclampsia]], toxemia of pregnancy, [[twin-to-twin transfusion syndrome]]
+|bgcolor="Beige"| [[Cervical cancer]], [[endometriosis]], hydrometrocolpos, [[hyperemesis gravidarum]], [[ovarian hyperstimulation syndrome]], [[perinatal asphyxia]], [[postpartum bleeding]], [[pre-eclampsia]], [[Pregnancy toxemia]], [[twin-to-twin transfusion syndrome]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 127: / Line 127: @@
 |-bgcolor="LightSteelBlue"
 | '''Renal/Electrolyte'''
-|bgcolor="Beige"| [[acute renal failure|Acute cortical necrosis]], [[acute interstitial nephritis]], [[chronic renal failure|acute on chronic renal failure ]], [[acute pyelonephritis]], [[acute renal failure]], [[acute tubular necrosis]], [[addisonian crisis]], [[alport syndrome]], [[analgesic nephropathy]], bilateral renal vein occlusion, [[burns]], [[chronic renal failure]], [[chronic renal failure|end stage kidney disease]], [[glomerulonephritis]], [[hepatic vein thrombosis]], [[hepatorenal syndrome]], [[hydronephrosis]], [[hypoaldosteronism]], [[nephritic syndrome]], [[nephrocalcinosis]], [[nephrolithiasis]], [[nephrotic syndrome]], [[Post-streptococcal glomerulonephritis]], [[renal papillary necrosis]], [[renal vein thrombosis]], [[diabetic nephropathy|salt-wasting nephropathies]], [[Sulphonamide|sulphonamide crystalluria]], [[thrombotic thrombocytopenic purpura]]
+|bgcolor="Beige"| [[acute renal failure|Acute cortical necrosis]], [[acute interstitial nephritis]], [[chronic renal failure|acute on chronic renal failure ]], [[acute pyelonephritis]], [[acute renal failure]], [[acute tubular necrosis]], [[addisonian crisis]], [[alport syndrome]], [[analgesic nephropathy]], [[burns]], [[chronic renal failure]], [[chronic renal failure|end stage kidney disease]], [[glomerulonephritis]], [[hepatic vein thrombosis]], [[hepatorenal syndrome]], [[hydronephrosis]], [[hypoaldosteronism]], [[nephritic syndrome]], [[nephrocalcinosis]], [[nephrolithiasis]], [[nephrotic syndrome]], [[Post-streptococcal glomerulonephritis]], [[renal papillary necrosis]], [[renal vein thrombosis]], [[diabetic nephropathy|salt-wasting nephropathies]], [[Sulphonamide|sulphonamide crystalluria]], [[thrombotic thrombocytopenic purpura]]
 |-
 |-bgcolor="LightSteelBlue"