Acute tubular necrosis screening: Difference between revisions
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==Screening== | ==Screening== | ||
* Screening for acute tubular necrosis is usually not recommended for asymptomatic individuals. | * Screening for acute tubular necrosis is usually not recommended for asymptomatic individuals. | ||
* Screening is usually recommended for | * Screening is usually recommended for patients who are at high risk including | ||
** Patients with recent abdominal and cardiac surgery | |||
** Severe volume depletion | |||
** Hemorrhagic shock | |||
** Rhabdomyolysis | |||
** Sepsis | |||
** Severe pancreatitis | |||
** Comorbid conditions (eg, diabetes mellitus, chronic kidney disease, atherosclerosis) | |||
* Screening evaluation includes measurement of:<ref name="pmid27670788">{{cite journal |vauthors=Ostermann M, Joannidis M |title=Acute kidney injury 2016: diagnosis and diagnostic workup |journal=Crit Care |volume=20 |issue=1 |pages=299 |date=September 2016 |pmid=27670788 |pmc=5037640 |doi=10.1186/s13054-016-1478-z |url=}}</ref><ref name="pmid8267149">{{cite journal |vauthors=Kellen M, Aronson S, Roizen MF, Barnard J, Thisted RA |title=Predictive and diagnostic tests of renal failure: a review |journal=Anesth. Analg. |volume=78 |issue=1 |pages=134–42 |date=January 1994 |pmid=8267149 |doi= |url=}}</ref> | |||
** Serum creatinine | |||
** Volume of urine | |||
** Blood urea nitrogen (BUN) | |||
** Urine sediment and microscopy | |||
** Urine electrolytes | |||
** Serum electrolytes | |||
==References== | ==References== | ||
Revision as of 18:15, 22 May 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Chandrakala Yannam, MD [2]
Overview
There is insufficient evidence to recommend routine screening for acute tubular necrosis.
Screening
- Screening for acute tubular necrosis is usually not recommended for asymptomatic individuals.
- Screening is usually recommended for patients who are at high risk including
- Patients with recent abdominal and cardiac surgery
- Severe volume depletion
- Hemorrhagic shock
- Rhabdomyolysis
- Sepsis
- Severe pancreatitis
- Comorbid conditions (eg, diabetes mellitus, chronic kidney disease, atherosclerosis)
- Screening evaluation includes measurement of:[1][2]
- Serum creatinine
- Volume of urine
- Blood urea nitrogen (BUN)
- Urine sediment and microscopy
- Urine electrolytes
- Serum electrolytes
References
- ↑ Ostermann M, Joannidis M (September 2016). "Acute kidney injury 2016: diagnosis and diagnostic workup". Crit Care. 20 (1): 299. doi:10.1186/s13054-016-1478-z. PMC 5037640. PMID 27670788.
- ↑ Kellen M, Aronson S, Roizen MF, Barnard J, Thisted RA (January 1994). "Predictive and diagnostic tests of renal failure: a review". Anesth. Analg. 78 (1): 134–42. PMID 8267149.