Acute tubular necrosis screening
Acute tubular necrosis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Acute tubular necrosis screening On the Web |
American Roentgen Ray Society Images of Acute tubular necrosis screening |
Risk calculators and risk factors for Acute tubular necrosis screening |
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.