Oliguria: Causes & Reasons

Possible Causes for Oliguria

Sudden and sustained deterioration of the kidney function characterized by decreased glomerular filtration rate, increased serum creatinine or oliguria. [icd9data.com]

This patient’s oliguria with acutely elevated BUN and plasma creatinine suggest that he is in acute renal failure (ARF). [foamcast.org]

Clinical syndrome characterized by a sudden decrease in glomerular filtration rate, usually associated with oliguria and always associated with biochemical consequences of [icd9data.com]

Tumor Lysis Syndrome

[…] measurement available **** includes tetany, muscle spasms, parasthesiae, bronchospasm, laryngospasm, hypotension Note: Original 2004 Cairo-Bishop criteria do not specify oliguria [bloodref.com]

A 53-year-old man presented with abrupt oliguria. [ncbi.nlm.nih.gov]

Unfortunately, oliguria and refractory hyperkalemia quickly developed, requiring dialysis. [cmaj.ca]

Ovarian Hyperstimulation Syndrome

Within 24 h of OPU the patient developed oliguria and the ascitic fluid increased. [jhrsonline.org]

Surgical intervention Paracentesis (drainage of ascites) – if tense ascites causing discomfort or to improve persistent oliguria. [icid.salisbury.nhs.uk]

[…] of exudates leading to varying degrees of weight gain increase in abdominal circumference ascites pleural effusions intravascular volume depletion with hemoconcentration oliguria [radiopaedia.org]

Renal Glomerular Disease

Slight oliguria and rise in BUN Maintenance: oliguria, salt and water overload, rising BUN, hyperkalemia, metabolic acidosis Recovery: increase in urinary output (up to 3L [pathologystudent.com]

The pathophysiology of glomerular diseases is complex; most patients present with either nephritic syndrome (low-level proteinuria, microhematuria, oliguria, and hypertension [amboss.com]

Nephritic syndrome is nephritic urine sediment with or without hypertension, elevated serum creatinine, and oliguria. [merckmanuals.com]

Acute Tubular Necrosis

The complications of acute renal failure (such as, gastrointestinal bleeding, acidosis, oliguria and hypervolaemia) were more prevalent in ischaemic and mixed ATN patients [ncbi.nlm.nih.gov]

Other than oliguria in severe cases, symptoms do not develop unless and until renal failure develops. [merckmanuals.com]

Twenty-four hours after admission to the cardiac intensive care unit, he develops oliguria. [medbullets.com]

Acute Glomerulonephritis

Poststreptococcal gomerulonephritis • Onset abrupt with – Puffness of face – Oliguria – Smoky urine – Reddish urine – Hypertension – Oedema 16. [slideshare.net]

We report the case of a 10-year-old boy with acute glomerulonephritis who presented with gross hematuria, headache, vomiting, and oliguria, and developed transient cortical [ncbi.nlm.nih.gov]

The patient showed acute onset of heavy proteinuria, microscopic hematuria and kidney dysfunction with arthralgia and oliguria after close contact with a person suffering [ncbi.nlm.nih.gov]

Prerenal Azotemia

This means that oliguria occurs. [greek.doctor]

Other than oliguria in severe cases, symptoms do not develop unless and until renal failure develops. [msdmanuals.com]

Third, NaU is usually assessed only in the presence of oliguria or azotemia. [ccforum.biomedcentral.com]

Rapidly Progressive Glomerulonephritis

Rapidly progressive ("crescentic") glomerulonephritis is a primary glomerulonephritis, which produces nephritic syndrome (hematuria, oliguria, uremia, hypertension and mild [pathologyatlas.ro]

Progressive decline in GFR over weeks to months (more subacute presentation) -Rapid loss of renal function over weeks to months -Often accompanied with oliguria or anuria [studyblue.com]

Conversely, patients may present with more renal specific symptoms including hematuria, anemia, oliguria, hypertension, and/or peripheral edema. [symptoma.com]

Nephritis

Oliguria may result from prerenal, intrinsic renal, or postrenal processes. [emedicine.medscape.com]

She presented to our hospital with worsening generalized body swelling and oliguria of 1 month's duration. [ncbi.nlm.nih.gov]

Retrieved 2015-06-15. ^ "Oliguria: Background, Etiology, Epidemiology". Medscape. eMedicine. [en.wikipedia.org]

Capillary Leak Syndrome

[…] severity and may be lethal.A 49-year-old previously healthy man was admitted to hospital for hypovolemic shock, anasarca with pleuropericardial effusion, muscle fatigue, and oliguria [ncbi.nlm.nih.gov]

The leak phase follows with oliguria, arterial hypotension and rapid development of edema of the face or the upper limbs but sparing the lungs. [orpha.net]

Renal Cortical Necrosis

One patient spontaneously recovered renal function after prolonged oliguria. This case should be added to the small number of similar case reports in the literature. [ncbi.nlm.nih.gov]

Oliguria/anuria on admission and dialysis dependency are associated with RCN. [ncbi.nlm.nih.gov]

Due to blast crisis the patient experienced sudden back pain, with oliguria and renal function deterioration followed by anaemia, in the context of haemolysis consistent with [ncbi.nlm.nih.gov]

Post-Streptococcal Glomerulonephritis

We herein report the case of a 17-year-old man who developed an increased plasma creatinine level (11.1 mg/dL) and oliguria with massive proteinuria (27.3 g/day) four weeks [ncbi.nlm.nih.gov]

Symptoms of APSGN include: fluid accumulation and tissue swelling ( edema ) initially in the face and around the eyes, later in the legs low urine output (oliguria) blood [medical-dictionary.thefreedictionary.com]

A 14-year-old boy presented with 3 days of hematuria and oliguria following impetigo. [ncbi.nlm.nih.gov]

Interstitial Nephritis

By the time oliguria has supervened, the need for renal replacement therapy is imminent. [doi.org]

Three patients presented with edema and two with oliguria, while none had frank hematuria, fever, arthralgia, skin rash or history of exposure to nonsteroidal antiinflamatory [ncbi.nlm.nih.gov]

occurs in However, in NSAID-associated acute interstitial nephritis cases, co-existing membranous nephropathy or minimal change disease may produce nephrotic syndrome Oliguria [mdnxs.com]

Goodpasture Syndrome

The patient has intermittent fever and cough for 45 days and oliguria for 6 days. [ncbi.nlm.nih.gov]

Renal Symptomology Inflammation of the glomerulus initiates the pathogenesis of a nephritic syndrome with symptomology of hematuria, pyuria, secondary hypertension, oliguria [pathwaymedicine.org]

Septic Abortion

On the other hand, reductions in both clearances were present in most patients who had a long period of oliguria (GFR: 84.9 +/- 4.2 and RPF: 418.1 +/- 33.1). [ncbi.nlm.nih.gov]

[…] condition becomes more serious, signs of septic shock may appear, including: Low blood pressure (hypotension) Low body temperature (hypothermia) Little or no urine output (oliguria [en.wikipedia.org]

Septic shock may result, causing hypothermia, hypotension, oliguria, and respiratory distress. [msdmanuals.com]

Ethylene Glycol Poisoning

A young man presented to the emergency department with mental status changes, severe metabolic acidosis, and oliguria. Acute ethylene glycol intoxication was diagnosed. [ncbi.nlm.nih.gov]

History / PE : Flank pain, hematuria, oliguria (ARF) Diagnosis : Anion gap acidosis Elevated creatinine Calcium oxalate crystal deposition in kidneys Treatment : 1) Fomepizole [medlibes.com]

[…] isosthenuria - calcium oxalate monohydrate or dihydrate crystalluria - hyperosmolality ( if available) - in dogs EG test kit LATE: - depression - anorexia, vomiting - azotemia, and oliguria [quizlet.com]

Fat Embolism

[…] tachycardia, myocardial depression, right heart strain SKIN – petechial rash (conjunctival, anterior chest, axillae) HAEM – DIC, anaemia (e.g. due to alveolar haemorrhage) RENAL – oliguria [lifeinthefastlane.com]

pyrexia, cardiac depression, Purtscher's retinopathy, fever, coagulopathy (resembling disseminated intravascular coagulation), and kidney dysfunction (e.g., lipiduria, oliguria [symptoma.com]

Renal - oliguria, haematuria, anuria. Drowsiness with oliguria is almost pathognomonic. [patient.info]

Kidney Failure

Oliguria can have many causes. [doi.org]

Sudden and sustained deterioration of the kidney function characterized by decreased glomerular filtration rate, increased serum creatinine or oliguria. [icd9data.com]

Oliguria is characteristic but not always present. Water and electrolyte level disturbances lead to fluid buildup. [symptoma.com]

Hypovolemia

Class III hemorrhage (loss of 30-40%) By this point, patients usually have marked tachypnea and tachycardia, decreased systolic BP, oliguria, and significant changes in mental [emedicine.medscape.com]

Symptoms that may be present in mild fluid depletion (less than 5% of ECF) include diminished skin turgor which is best assessed at the upper torso, dry mucous membranes, and oliguria [nursingshow.com]

Symptoms include altered mental status, tachycardia, hypotension, and oliguria. [merckmanuals.com]

Eclampsia

Three patients had evidence of worsening severity of disease characterized by acute renal failure with oliguria, HELLP Syndrome, Intrauterine Growth Restriction and adverse [ncbi.nlm.nih.gov]

Oliguria (urine output < 500 cc/day) indicates a much more severe clinical picture. Sudden onset or worsening of edema is a cause of concern in preeclamptic patients. [renalandurologynews.com]

160 mmHg or more on two occasions six hours apart when the patient is on bed rest; 2) proteinuria of 5 g or more in 24 hours or 3 + or more by semiquantitative assay; 3) oliguria [ncbi.nlm.nih.gov]

Hemolytic Uremic Syndrome

Anemia, edema, oliguria, hemoglobinuria and hypertension were the most common manifestations. [ncbi.nlm.nih.gov]

Risk of a complicated course/poor outcome was strongly associated with oliguria (p = 0.000006) and hypertension (p = 0.00003) at presentation. [ncbi.nlm.nih.gov]

The diarrhea precedes the hemolysis and thrombocytopenia by 5 to 7 days; oliguria/anuria follows several days later. [ncbi.nlm.nih.gov]

Preeclampsia

Oliguria was also removed as a characteristic of severe disease. [3] There have been several cases reported in the literature as well as by Obstetricians citing the incidence [ncbi.nlm.nih.gov]

Oliguria (urine output < 500 cc/day) indicates a much more severe clinical picture. Sudden onset or worsening of edema is a cause of concern in preeclamptic patients. [renalandurologynews.com]

[…] vomiting Your doctor may also find the following during clinical examination High blood pressure of 140/90mmHg or higher Proteinuria Abnormal liver enzymes Low platelet count Oliguria [healthyslide.com]

Allergic Interstitial Nephritis

Fractional Excretion of Sodium (FENa) may be useful if oliguria 7. [renalandurologynews.com]

A nephrologist should always be consulted in severe cases (robust increases of creatinine value, robust proteinurie, oliguria or anuria, increases in body weight) for further [thieme-connect.com]

[…] collecting ducts, renal pelvis, or ureter. • Since obstruction is often bilateral, patients typically follow the clinical course of acute renal failure, characterized by oliguria [slideshare.net]

Rhabdomyolysis

Due to oliguria, renal replacement therapy was initiated. An etiological investigation revealed a beta-oxidation defect. [ncbi.nlm.nih.gov]

Patients may need dialysis if oliguria is present. [nrsng.com]

[…] in a more alkaline environment Protocol Saline 0.45% (1/2 NS) with Sodium Bicarbonate 40 meq (1 to 2 ampules) and Mannitol 10 grams per liter Contraindications Persistent Oliguria [fpnotebook.com]

Malignant Hypertension

He presented with oliguria, renal failure, thrombocytopenia and haemolytic anaemia. He required several sessions of renal replacement therapy. [ncbi.nlm.nih.gov]

A 38-year-old male presented with nausea, vomiting, loss of appetite and oliguria for 2 weeks. [ncbi.nlm.nih.gov]

[…] vascular damage to renal vessels secondary to benign nephrosclerosis (most common cause) thrombotic thrombocytopenic purpura hemolytic-uremic syndrome Presentation Symptoms oliguria [step1.medbullets.com]

Weil Disease

Clinical trials included for meta-analysis were compared on the basis of mortality, fever days, numbers of patients presenting with oliguria, and number of patients undergoing [ncbi.nlm.nih.gov]

The disease is characterized by jaundice, fever, oliguria, headache, myalgia, haemorrhagic tendencies with purpura or petechiae, and enlargement of liver and spleen. [whonamedit.com]

[…] mortality (Odds ratio 1.59 (95% CI 0.59-4.29), P = 0.35), fever days (std difference in mean = -0.223 (95% CI 0.394-0.995), P = 0.358), number of patients presenting with oliguria [ncbi.nlm.nih.gov]

Renal Infarction

After operation, oliguria and renal dysfunction developed, and he was admitted to our hospital because of acute renal failure after trauma. [ncbi.nlm.nih.gov]

Symptoms start abruptly and consist of abdominal, flank, costovertebral or lower back pain, nausea, vomiting, fever and sometimes oliguria and hematuria. [symptoma.com]

Nineteen (43%) patients experienced vomiting, 18 (41%) had fever, and only 3 (7%) had oliguria. [journals.lww.com]

Gastroenteritis due to Enterohemorrhagic Escherichia coli O157:H7

Oliguria, severe dehydration and frank blood in stool were not encountered at all amongst E. coli strains not causing dysentery. [ijpmonline.org]

Patients present with pallor, weakness, irritability, and oliguria or anuria. EPEC also produce AE lesions; however, it does so in the absence of Shiga toxin production. [emedicine.medscape.com]

[…] without laboratory-confirmation if they are epidemiologically linked to a laboratory-confirmed case (these cases represent 3 ), or acute renal dysfunction, defined as either oliguria [journals.plos.org]

Waterhouse-Friderichsen Syndrome

Other features may include dehydration, vomiting, diarrhoea, oliguria, neck stiffness, and occasionally anuria. [whonamedit.com]

Other clinical features may include dehydration, vomiting, diarrhea, oliguria, and neck stiffness, and occasionally anuria. [accessanesthesiology.mhmedical.com]

Renal Arteritis

The patient worsened significantly six months after the onset of symptoms and developed acute pulmonary edema, oliguria, acute kidney injury, and difficult-to-control hypertension [bjnephrology.org]

In one of these visits, she complained of recent oliguria, slowness, drowsiness and hair loss. [scielo.br]