Oliguria: Difference between revisions

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{{Infobox_Disease |
__NOTOC__
  Name        = Oliguria |
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
  ICD10      = {{ICD10|R|34||r|30}} |
 
  ICD9        = {{ICD9|788.5}} |
{{Template:Oliguria}}
}}
 
{{SI}}
{{CMG}}
{{CMG}}
<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>
==[[Oliguria overview|Overview]]==


{{EH}}
==[[Oliguria historical perspective|Historical Perspective]]==


'''Oliguria''' and '''anuria''' are the decreased or absent production of [[urine]], respectively.
==[[Oliguria classification|Classification]]==


==Definition==
==[[Oliguria pathophysiology|Pathophysiology]]==
Oliguria is defined as a urine output that is less than 1 mL/kg/h in infants, less than 0.5 mL/kg/h in children, and less than 400 mL/day (equals 17mL/hour) in adults.<ref>{{cite journal | author = Klahr S, Miller S | title = Acute oliguria. | journal = N Engl J Med | volume = 338 | issue = 10 | pages = 671-5 | year = 1998 | id = PMID 9486997}} [http://content.nejm.org/cgi/content/full/338/10/671 Free Full Text].</ref>


==Differential diagnosis of causes of oliguria==
==[[Oliguria causes|Causes]]==
The pathophysiologic mechanisms causing oliguria can be categorized globally in three different categories:


===Prerenal===
==[[Oliguria differential diagnosis|Differentiating Oliguria from other Diseases]]==
In response to [[hypoperfusion]] of the kidney (e.g. as a result of [[dehydration]] by poor oral intake, [[diarrhea]], massive [[bleeding]] or [[sepsis]])


===Renal===
==[[Oliguria epidemiology and demographics|Epidemiology and Demographics]]==
Due to kidney damage (severe [[hypoperfusion]], [[rhabdomyolysis]], [[medication]])


===Postrenal===
==[[Oliguria risk factors|Risk Factors]]==
As a consequence of obstruction of the urine flow (e.g. [[enlarged prostate]], tumour compression urinary outflow, expanding [[hematoma]] or fluid collection)


The decreased production of urine may be a sign of [[dehydration]], [[renal failure]] or [[urinary obstruction]]/[[urinary retention]].
==[[Oliguria natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


===Postoperative oliguria===
==Diagnosis==
Patients usually have decrease in urine output after a major operation that may be a normal physiological response to:
[[Oliguria history and symptoms| History and Symptoms]] | [[Oliguria physical examination | Physical Examination]] | [[Oliguria laboratory findings|Laboratory Findings]] | [[Oliguria CT|CT]] | [[Oliguria other imaging findings|Other Imaging Findings]] | [[Oliguria other diagnostic studies|Other Diagnostic Studies]]
* fluid/ blood loss – decreased glomerular filtration rate secondary to hypovolemia and/or hypotension
* response of adrenal cortex to stress -increase in [[aldosterone]] (Na and water retention) and [[antidiuretic hormone]] (ADH) release


===Oliguria in infants===
==Treatment==
Oliguria, when defined as less than 1 mL/kg/h, in [[infant]]s is not considered to be a reliable sign of renal failure.<ref>{{cite journal | author = Arant B | title = Postnatal development of renal function during the first year of life. | journal = Pediatr Nephrol | volume = 1 | issue = 3 | pages = 308-13 | year = 1987 | id = PMID 3153294}}</ref>
[[Oliguria medical therapy|Medical Therapy]] |  [[Oliguria surgery|Surgery]] | [[Oliguria primary prevention|Primary Prevention]] | [[Oliguria secondary prevention|Secondary Prevention]] | [[Oliguria cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Oliguria future or investigational therapies|Future or Investigational Therapies]]


==References==
==Case Studies==
<references/>
[[Oliguria case study one|Case#1]]
 
{{Symptoms and signs}}
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[[ja:乏尿]]
[[pt:Oligúria]]
[[sk:Anúria]]
[[sl:Oligurija]]
[[zh:寡尿]]


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Latest revision as of 13:49, 11 June 2015

For patient information click here

Oliguria Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Oliguria from other Diseases

Epidemiology and Demographics

Risk Factors

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Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

Endoscopy

Other Imaging Findings

Other Diagnostic Studies

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Primary Prevention

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Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

To view a comprehensive algorithm of common findings of urine composition and urine output, click here

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Oliguria from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | CT | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case#1


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