Oliguria differential diagnosis

	Oliguria Microchapters
Home
Patient Information
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
Endoscopy
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
Oliguria differential diagnosis On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Oliguria differential diagnosis All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Oliguria differential diagnosis
CDC on Oliguria differential diagnosis
Oliguria differential diagnosis in the news
Blogs on Oliguria differential diagnosis
Directions to Hospitals Treating Oliguria
Risk calculators and risk factors for Oliguria differential diagnosis

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

Differential Diagnosis

Life Threatening Causes

Life threatening diseases to exclude immediately include:^[1]^[2]

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.

Classification by etiology	Etiology	Clinical manifestations										Paraclinical findings
		Symptoms and signs										Lab findings					Imaging
		Fatigue/Lethargy	Thirst	Dizziness/Confusion	Muscle weakness/cramp	Somatic/visceral pain	Vomiting	Diarrhea	Tachypnea	Haematuria/Proteinuria	Edema	CBC	KFT	Electrolytes	Urine analysis	ABG	Ultrasound	X-ray	CT	MRI
Prerenal	Alcohol poisoning
	Aspergillosis
	Asphyxia
	Cholera
	Cirrhosis
	Congestive Heart Failure
	Dehydration - Burns -Cutaneous loss e.g. sweating - Inadequate water intake - Salt-wasting nephropathy
	Diabetes insipidus
	Diabetes mellitus
	Diarrhea and/or vomiting
	Drugs/Toxins -ACE -Aminoglycosides -Amphotericin B -Contrast material -Cyclosporin -Diuretics -Digitalis -Heavy metals -Indomethacin -Tacrolimus -NSAIDs
	Esophageal varices bleeding
	Heart disease -Congenital -Acquired
	Hemorrhage
	Hemolysis
	Hepatorenal syndrome
	Ischemic cardiomyopathy
	Malignant hypertension
	Myocarditis
	Peritonitis
	Polycythemia
	Respiratory distress syndrome
	Shock - Anaphylactic - Cardiogenic -Hypotensive - Septic - Toxic
	Third space losses - Capillary leak - Surgery - Trauma
	Toxic megacolon
Intrinsic renal	Acute interstitial nephritis
	Acute tubular necrosis
	Cancer -Renal cell carcinoma -Metastatic cancer
	Chronic kidney failure
	Congenital kidney disease - Agenesis - Dysplasia - Hypoplasia - Polycystic
	End stage renal disease
	Endogenous toxins - Hemoglobin - Myoglobin - Uric acid
	Glomerulonephritis
	Goodpasture syndrome
	Hemolytic uremic syndrome
	Nephrolithiasis
	Nephrotic syndrome
	Thrombosis - Renal vein - Renal artery
	Transplant rejection
	Transient dysfunction of the newborn
Postrenal	Bladder outlet obstruction
	Benign prostatic hyperplasia
	Catheter-related
	Chronic prostatitis
	Obstructive uropathy
	Neurogenic bladder

References

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

Template:WikiDoc Sources

[pmid854045-1] 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.

[pmid3895901-2] Dixon BS, Anderson RJ (August 1985). "Nonoliguric acute renal failure". Am. J. Kidney Dis. 6 (2): 71–80. PMID 3895901.

[1]

[2]