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| '''Editor(s)-in-Chief:''' [[C. Michael Gibson]], M.S.,M.D. [mailto:charlesmichaelgibson@gmail.com] Phone:617-632-7753;<br><br>'''To view a comprehensive algorithm of common findings of urine composition and urine output, click [[Urine#Algorithm of Common Urinary Findings|here]]'''<br> | | '''Editor(s)-in-Chief:''' [[C. Michael Gibson]], M.S.,M.D. [mailto:charlesmichaelgibson@gmail.com] Phone:617-632-7753;<br><br>'''To view a comprehensive algorithm of common findings of urine composition and urine output, click [[Urine#Algorithm of Common Urinary Findings|here]]'''<br> {{AE}} {{LRO}} |
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| ==Overview== | | ==Overview== |
Template:Search infobox
Editor(s)-in-Chief: C. Michael Gibson, M.S.,M.D. [1] Phone:617-632-7753;
To view a comprehensive algorithm of common findings of urine composition and urine output, click here
Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.
Overview
Polyuria is the passage of a large volume of urine in a given period (>= 2.5L/24 hours in adult humans) [2] It often appears with increased thrist (polydipsia), though it is possible to have one without the other.
Causes
Life Threatening Causes
Common Causes
Causes by Organ System
Cardiovascular
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Cardiorespiratory disease, Circulation, Congestive heart failure, Paroxysmal tachycardia
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Chemical/Poisoning
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3,3-dichlorobenzidine , Caffeine poisoning, Foscarnet sodium, Frusemide, Juniper tar poisoning , Oak poisoning , Silicon dioxide, Sodium ferrocyanide, Sorbitol
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Dental
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No underlying causes
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Dermatologic
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No underlying causes
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Drug Side Effect
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Amitraz , Bcg vaccine, Bendrofluazide, Bumetanide, Canagliflozin, Conivaptan, Dapagliflozin, Diuretic therapy, Empagliflozin, Goserelin, Hydrochlorothiazide, Isosorbide, Lithium, Mannitol, Nabilone, Phendimetrazine, Probenecid, Tiagabine, Tolvaptan, Use of a corticosteroid
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Ear Nose Throat
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Sicca syndrome
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Endocrine
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Adrenal adenoma, Adrenal cancer, Adrenal cortex neoplasms , Adrenal gland hyperfunction , Aldosteronism, Conn's disease , Cushing syndrome, Cystinosis , Dka, Ectopic acth syndrome , Electrolyte abnormality , Familial hypopituitarism , Fanconi syndrome, Froelich's syndrome , Hair-an syndrome , Hormonal, Hyperadrenalism , Hypercalcemia, Hypercalcuria , Hyperglycemia , Hyperosmolar hyperglycemic nonketotic syndrome , Hyperparathyroidism, Hyperthyroidism, Hypokalemia, Hypokalemic periodic paralysis , Hypopituitarism, Hypothalamic dysfunction , Intermediate cystinosis , Multiple endocrine neoplasia , Panhypopituitarism , Parathyroid cancer, Pheochromocytoma, Pituitary tumors, Polydipsia, Postural orthostatic tachycardia syndrome, Primary hyperaldosteronism , Syndrome of inappropriate antidiuretic hormone
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Environmental
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Postobstructive uropathy
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Gastroenterologic
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Gestational diabetes, Rib tumor , Wandering spleen
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Genetic
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Aceruloplasminemia , Amelogenesis imperfeca, Apparent mineralocorticoid excess , Bartter syndrome , Boichis syndrome , Conn's disease , Dend syndrome , East syndrome , Gitelman syndrome , Hair-an syndrome , Hereditary primary fanconi disease , Machado-joseph disease , Senior-loken syndrome , Wolfram's disease
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Hematologic
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Diabetes insipidus , Diabetes mellitus, Excessive riboflavin, Excessive vitamin d, Hemochromatosis , Hhns, Hypercalcemia, Hypercalcuria , Hyperglycemia , Hyperosmolar hyperglycemic nonketotic syndrome , Hypervitaminosis a, Hypervitaminosis d, Hypokalemia, Hypokalemic periodic paralysis , Langerhans cell histiocytosis , Leukemia, Neurosarcoidosis , Proximal renal tubular acidosis , Resolving hematoma, Sickle-cell anemia
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Iatrogenic
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Bcg vaccine, Chemotherapy-induced cystitis, Diuretic therapy, Pelvic lipomatosis , Radiation cystitis, Radiographic contrast media
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Infectious Disease
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Gonococcal urethritis , Serratia urinary tract infection , Streptococcal group b invasive disease , Urinary tract infection
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Musculoskeletal/Orthopedic
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Back tumor , Hip cancer , Pyelonephritis, Secondary bone cancer
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Neurologic
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Adrenocortical carcinoma , Anorexia nervosa , Cerebral salt-wasting syndrome, Diencephalic syndrome , Migraine, Neurologic damage, Neurosarcoidosis , Olivopontocerebellar atrophy type 3 , Postural orthostatic tachycardia syndrome, Psychogenic polydipsia, Seizures
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Nutritional/Metabolic
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Aceruloplasminemia , Dend syndrome , Diabetes insipidus , Diabetes mellitus, Diabetic nephropathy , Excessive riboflavin, Excessive vitamin d, Gestational diabetes, Hhns, Hypervitaminosis a, Hypervitaminosis d, Nephrogenic diabetes insipidus , Renal tubular transport disorders, Renal tubulopathy
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Obstetric/Gynecologic
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Ovarian cysts , Premenstrual syndrome , Vagina cancer
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Oncologic
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Adrenal adenoma, Adrenal cancer, Adrenal cortex neoplasms , Adrenal incidentaloma , Adrenocortical carcinoma , Back tumor , Bladder cancer , Chemotherapy-induced cystitis, Conn-louis carcinoma , Conn's adenoma , Ectopic acth syndrome , Erdheim-chester disease , Hip cancer , Leukemia, Parathyroid cancer, Pituitary tumors, Prostate cancer, Prostate conditions , Renal cell cancer , Rib tumor , Secondary bone cancer , Urethral cancer , Uterine leiomyoma , Vagina cancer
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Ophthalmologic
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No underlying causes
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Overdose/Toxicity
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No underlying causes
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Psychiatric
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Anorexia nervosa , Combat stress reaction , Generalized anxiety disorder, Seizures
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Pulmonary
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Cardiorespiratory disease, East syndrome , Heerfordt syndrome
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Renal/Electrolyte
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Acid-base imbalance, Acute tubular necrosis, Aldosteronism, Alsing syndrome , Altitude diuresis, Apparent mineralocorticoid excess , Bartter syndrome , Boichis syndrome , Cerebral salt-wasting syndrome, Chronic glomerulonephritis, Chronic interstitial nephritis, Chronic kidney disease , Chronic renal failure, Chronic wasting disease , Cystitis , Danubian endemic familial nephropathy, Diabetic nephropathy , Early chronic pyelonephritis, Electrolyte abnormality , Eosinophilic cystitis, Gitelman syndrome , Glomerulonephritis , Interstitial cystitis, Juvenile nephronophthisis , Medullary cystic kidney disease , Megalocytic interstitial nephritis , Membranoproliferative glomerulonephritis , Nephrocalcinosis , Nephrogenic diabetes insipidus , Nephrolithiasis , Nephronophthisis, Nephropathic cystinosis , Oligomeganephronic renal hypoplasia , Osmotic diuresis, Polycystic kidney disease , Polydipsia, Primary tubular proximal acidosis , Proximal renal tubular acidosis , Proximal tubulopathy, Psychogenic polydipsia, Pyelonephritis, Radiation cystitis, Reflux nephropathy , Renal cell cancer , Renal failure, Renal tubular acidosis, Renal tubular transport disorders, Renal tubulopathy , Toni-fanconi syndrome type 1
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Rheumatology/Immunology/Allergy
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Heerfordt syndrome , Neurosarcoidosis , Reiter’s syndrome , Uterine fibroids
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Sexual
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No underlying causes
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Trauma
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No underlying causes
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Urologic
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Benign prostate hyperplasia , Benign prostate hypertrophy, Bladder cancer , Bladder compression , Bladder conditions, Bladder diverticulum, Enlarged prostate , Noctural polyuria syndrome, Overactive bladder, Pathological water intake, Postobstructive uropathy, Prostate cancer, Prostate conditions , Sassoon hospital syndrome, Serratia urinary tract infection , Urethral cancer , Urethritis , Urinary outflow obstruction , Urinary stones , Urinary tract infection, Uterine fibroids , Uterine leiomyoma
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Miscellaneous
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No underlying causes
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Causes in Alphabetical Order
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3
Differential Diagnosis of Polyuria
In alphabetical order. [1] [2]
References
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
- ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X
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