Oliguria differential diagnosis: Difference between revisions
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|Urine analysis | |||
|ABG | |||
|Ultrasound | |Ultrasound | ||
|X-ray | |X-ray | ||
Revision as of 19:37, 20 April 2018
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Oliguria Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Oliguria differential diagnosis On the Web |
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American Roentgen Ray Society Images of Oliguria differential diagnosis |
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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 | |||||||||||||||||||
| Fatigue/Lethargy | Thirst | Dizziness/Confusion | Muscle weakness/cramp | Somatic/visceral pain | Vomiting | Diarrhea | Tachypnea | Haematuria/Proteinuria | Edema | CBC | KFT | Electrolytes | Urine analysis | ABG | Ultrasound | X-ray | CT | MRI | |||
| Prerenal | Alcohol poisoning | ||||||||||||||||||||
| Aspergillosis | |||||||||||||||||||||
| Asphyxia | |||||||||||||||||||||
| Cholera | |||||||||||||||||||||
| Cirrhosis | |||||||||||||||||||||
| Congestive Heart Failure | |||||||||||||||||||||
| Dehydration
- Burns -Cutaneous loss e.g. sweating - Inadequate water intake - Salt-wasting nephropathy |
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| Diabetes insipidus | |||||||||||||||||||||
| Diabetes mellitus | |||||||||||||||||||||
| Diarrhea and/or vomiting | |||||||||||||||||||||
| Drugs/Toxins
-ACE -Aminoglycosides -Amphotericin B -Contrast material -Cyclosporin -Diuretics -Digitalis -Heavy metals -Indomethacin -Tacrolimus -NSAIDs |
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| Esophageal varices bleeding | |||||||||||||||||||||
| Heart disease
-Congenital -Acquired |
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| Hemorrhage | |||||||||||||||||||||
| Hemolysis | |||||||||||||||||||||
| Hepatorenal syndrome | |||||||||||||||||||||
| Ischemic cardiomyopathy | |||||||||||||||||||||
| Malignant hypertension | |||||||||||||||||||||
| Myocarditis | |||||||||||||||||||||
| Peritonitis | |||||||||||||||||||||
| Polycythemia | |||||||||||||||||||||
| Respiratory distress syndrome | |||||||||||||||||||||
| Shock
- Anaphylactic - Cardiogenic -Hypotensive - Septic - Toxic |
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| Third space losses
- Capillary leak - Surgery - Trauma |
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| Toxic megacolon | |||||||||||||||||||||
| Intrinsic renal | Acute interstitial nephritis | ||||||||||||||||||||
| Acute tubular necrosis | |||||||||||||||||||||
| Cancer
-Renal cell carcinoma -Metastatic cancer |
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| Chronic kidney failure | |||||||||||||||||||||
| Congenital kidney disease
- Agenesis - Dysplasia - Hypoplasia - Polycystic |
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| End stage renal disease | |||||||||||||||||||||
| Endogenous toxins
- Hemoglobin - Myoglobin - Uric acid |
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| Glomerulonephritis | |||||||||||||||||||||
| Goodpasture syndrome | |||||||||||||||||||||
| Hemolytic uremic syndrome | |||||||||||||||||||||
| Nephrolithiasis | |||||||||||||||||||||
| Nephrotic syndrome | |||||||||||||||||||||
| Thrombosis
- Renal vein - Renal artery |
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| Transplant rejection | |||||||||||||||||||||
| Transient dysfunction of the newborn | |||||||||||||||||||||
| Postrenal | Bladder outlet obstruction | ||||||||||||||||||||
| Benign prostatic hyperplasia | |||||||||||||||||||||
| Catheter-related | |||||||||||||||||||||
| Chronic prostatitis | |||||||||||||||||||||
| Obstructive uropathy | |||||||||||||||||||||
| Neurogenic bladder | |||||||||||||||||||||
References
- ↑ 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.
- ↑ Dixon BS, Anderson RJ (August 1985). "Nonoliguric acute renal failure". Am. J. Kidney Dis. 6 (2): 71–80. PMID 3895901.