Oliguria: Causes & Reasons

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Possible Causes for Oliguria

Acute Kidney Injury

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

Peritoneal dialysis was started at a mean of 51 hours after transplantation for treatment of anuria (5 patients, 50%), oliguria (3 patients, 30%), fluid overload or hyperkalemia [ncbi.nlm.nih.gov]

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

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

Chemotherapy with BEP was started, and after 24 h of administration, oliguria and tumor lysis syndrome (TLS) developed. [ncbi.nlm.nih.gov]

The other underwent hemodialysis because of oliguria. These 2 patients did not have heavy tumor burdens. [ncbi.nlm.nih.gov]

Ovarian Hyperstimulation Syndrome

Indeed, patients classified as having severe OHSS have rapid weight gain, tense ascites, hemodynamic instability, respiratory difficulty, progressive oliguria, and laboratory [moh-it.pure.elsevier.com]

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

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

Signs and symptoms The symptoms of glomerular disease include: Edema (swelling) in different parts of the body Reddish, brownish, or pinkish urine Foamy urine Oliguria (reduced [news-medical.net]

Acute Tubular Necrosis

We describe a renal transplant recipient in whom oliguria developed during the first week after transplant, although his early renal allograft function was good. [ncbi.nlm.nih.gov]

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]

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. [merckmanuals.com]

This causes oliguria. As long as there is obstruction will there of course be little to no urine excretion. [greek.doctor]

Rapidly Progressive Glomerulonephritis

And in this case, despite oliguria and rapid deterioration of renal function, the renal function recovered partially and continued to be stabilized with a favourable response [ncbi.nlm.nih.gov]

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

RPGN is dominated by a picture of nephritic syndrome (i.e. hematuria, pyuria, secondary hypertension, oliguria, and azotemia). [pathwaymedicine.org]

Nephritis

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

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

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

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

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]

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]

Oliguria school child < 400ml/day preschool child < 300ml/day infant & toddler < 200ml/day 12. [slideshare.net]

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]

On hospital day 7, edema, muscle ache, and oliguria were improved without dyspnea; however, pretibial compartment syndrome ( Fig. 2 ) associated with peripheral neuropathy [ceemjournal.org]

Twelve hours after ED presentation, hypoproteinemia (3.4 g/dL), hypoalbuminemia (1.8 g/dL), and elevated CPK (1,502 IU/L) and Hb (23.4 g/dL) were observed in addition to oliguria [ceemjournal.org]

Interstitial Nephritis

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]

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

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

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]

Goodpasture Syndrome

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

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

Fat Embolism

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]

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]

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]

Acute kidney injury (AKI) manifesting as oliguria, or even anuria in the setting of renal failure, together with jaundice, are hallmarks of Weil's disease. [symptoma.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]

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]

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]

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]

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]

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]

Renal Infarction

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

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]

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

Retroperitoneal Fibrosis

Frequently associated: vomiting, nausea, anorexia, malaise, fatigue, weight loss, constipation or diarrhoea, oliguria or anuria. [whonamedit.com]

[…] weight loss) and high acute-phase reactants; in addition, IRF patients often complain of abdominal or lumbar pain and, if ureteral involvement is present, they may also show oliguria [clinicaltrials.gov]

[…] thyroiditis, pseudotumor of orbit and generalized vasculitis Clinical Malaise, vomiting, backache, constipation, HTN Radiology Compression of intraabdominal structures Lab Oliguria [medical-dictionary.thefreedictionary.com]