Oliguria differential diagnosis

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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 for by carefully assessing the nature of the symptoms, and obtaining a thorough patient history.

Differential Diagnosis

===Life Threatening Causes===[1][2] Life threatening diseases to exclude immediately include:

  • 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.



References

  1. 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.
  2. Dixon BS, Anderson RJ (August 1985). "Nonoliguric acute renal failure". Am. J. Kidney Dis. 6 (2): 71–80. PMID 3895901.


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