Sandbox:Sahar

Renal failure

Is this acute or chronic renal failure

❑ History and physical examination ❑ Previous creatinin measurement ❑ Small kidneys on ultrasound except in diabetes

Has obstruction been excluded?

❑ Complete anuria ❑ Palpable bladder ❑ Renal ultrasound

Is the patient euvolemic?

❑ Check pulse, JVP, orthostatic hypotension, daily weights, fluid balance ❑ Check for BUN/Cr ratio ❑ Check for urinary sodium ❑ Do fluid challeng test

C01

C02

G03

G04