Possible Causes for oliguria Urinary Tract Infection Oliguria, strangiuria (difficult and painful urination), the passage of particulate matter, and/or pneumaturia suggest a complication such as the presence of a fungus ball [dx.doi.org] Streptococcal Infection […] manifestations of acute post-streptococcal glomerulonephritis are: CLINICAL FEATURES LABORATORY FINDINGS Abrupt onset Hematuria, cylindruria Headache, malaise Proteinuria Edema, oliguria [atsu.edu] Some experts recommend use when there has been no clinical response after the first 6 hours of supportive therapy, or in cases in which an undrainable focus or persistent oliguria [clinicaladvisor.com] Benign Prostatic Hyperplasia 腎症 nephrostomy 腎瘻造設術 nephrotic syndromeネフローゼ症候群 nephrotoxicity腎毒性 neurogenic神経［原］性の neurogenic bladder 神経因性膀胱 neuropathic bladder 神経因性膀胱 nocturia夜間頻尿 non-seminoma非精上皮腫 o oliguria [tokyo-med.ac.jp] Acute Renal Failure 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] Heart Failure […] signs of right heart failure: congested jugular veins, hepatomegaly, peripheral edema, ascites associated with atrial fibrillation, low values of arterial blood pressure and oliguria [ncbi.nlm.nih.gov] These mechanisms are responsible for the symptoms of diaphoresis, cool skin, tachycardia, cardiac arrhythmias, and oliguria. [medical-dictionary.thefreedictionary.com] Nocturia and oliguria Nocturia may occur relatively early in the course of heart failure. [emedicine.medscape.com] Congestive Heart Failure Oliguria and nocturia: These symptoms result from renal congestion. [symptoma.com] These mechanisms are responsible for the symptoms of diaphoresis, cool skin, tachycardia, cardiac arrhythmias, and oliguria. [medical-dictionary.thefreedictionary.com] The full-blown syndrome includes anasarca with liver dysfunction and oliguria. [doi.org] Sepsis Signs include fever, hypotension, oliguria, and confusion. [merckmanuals.com] The onset of oliguria (eg, about 0.5 mL/kg/hour) or anuria, or rising creatinine may signal impending renal failure. [merckmanuals.com] […] altered mental status Cardiovascular failure: hypotension Coagulopathy disseminated intravascular coagulation petechiae, purpura Liver failure: jaundice Kidney failure: oliguria [amboss.com] 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] Pulmonary Edema It was interesting to note that oliguria persisted in Case 2 after 500 mg frusemide when there was a mean pulmonary capillary wedge pressure (PCWP) of 13 cm H2O but following [inchem.org] Acute Renal Injury Sudden and sustained deterioration of the kidney function characterized by decreased glomerular filtration rate, increased serum creatinine or oliguria. [icd9data.com] Presence of stage III AKI, oliguria, and hemodynamic instability needing vasopressor are associated with increased mortality. [ncbi.nlm.nih.gov] Because of sustained oliguria, we initiated hemodialysis (HD) and also decided to use chemotherapy composed of dexamethasone, etoposide and cyclosporine for treatment of HLH [ncbi.nlm.nih.gov] Burn Injury Decreased cardiac output leads to decreased renal perfusion and oliguria that can culminate in acute kidney injury (AKI). [journals.lww.com] The presence of urine myoglobin and oliguria can aid in the diagnosis. Appropriate hydration and removal of compressive sources are the therapy of choice. [cancertherapyadvisor.com] […] released by the mast cells, causes increased capillary permeability and exudation resulting in edema, decreased intravascular volume, hypotension, tachypnea, tachycardia, oliguria [journals.lww.com] Tumor Lysis Syndrome A 53-year-old man presented with abrupt oliguria. [ncbi.nlm.nih.gov] The other underwent hemodialysis because of oliguria. These 2 patients did not have heavy tumor burdens. [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] Nephrolithiasis Observe for signs and symptoms of obstruction, such as frequent urination of small amounts, oliguria, anuria. 16. Nursing Diagnosis 1. [slideshare.net] Observe for signs and symptoms of obstruction, such as frequent urination of small amounts, oliguria, anuria. 42 43. [slideshare.net] CLINICAL MANIFESTSTIONS• Severe abdominal or flank pain• Frequency and dysuria• Oliguria and anuria in obstruction 15. [slideshare.net] 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] Clinical characteristics include hypotension; hyperventilation; cold, clammy, cyanotic skin; a weak and rapid pulse; oliguria; and mental confusion, combativeness, or anxiety [medical-dictionary.thefreedictionary.com] Carcinoma of the Prostate Case summary A 51-year-old gentleman presented to the hospital with oliguria, nausea, vomiting and severe back pain. [htct.com.br] Gastrointestinal Hemorrhage tachycardia, tachypnea, oliguria, confusion) or anemia (e.g., fatigue, pale skin, headache, coldness in the hands and feet, diaphoresis). [uspharmacist.com] General examination focuses on vital signs and other indicators of shock or hypovolemia (eg, tachycardia, tachypnea, pallor, diaphoresis, oliguria, confusion) and anemia [merckmanuals.com] Two days after admission, we initiated hemodialysis for persistent oliguria and progression of dyspnea. Following this, he received regular hemodialysis and antibiotics. [ncbi.nlm.nih.gov] Uterine Prolapse She presented with rapidly declining renal function and oliguria which reversed following manual reduction of the prolapse and insertion of a ring pessary. [ncbi.nlm.nih.gov] Dehydration Urinary findings include a decrease in urine volume (oliguria), specific gravity higher than 1.030, and an increase in urine osmolality. [medical-dictionary.thefreedictionary.com] Gastroenteritis Hyperkalemia Hypernatremia Hypochloremic Alkalosis Hypoglycemia Hypokalemia Hyponatremia Intestinal Malrotation Intestinal Volvulus Intussusception Neonatal Sepsis Oliguria [physio-pedia.com] Differential diagnosis of oliguria in aged patients. N Engl J Med. 1962;267:130–132. [PubMed] [Google Scholar] 80. Brenner BM. In: Brenner and Rector’s The Kidney. 8. [ncbi.nlm.nih.gov] Diabetic Nephropathy A 67-year-old man, on oral therapy for type 2 diabetes mellitus since 1990, had sustained proteinuria since 2005. When hematuria was first discovered in 2008, renal dysfunction [creatinine (Cr), 1.2 mg/dL], inflammation [C-reactive protein (CRP), 12 mg/dL] and high myeloperoxidase anti-neutrophil cytoplasmic antibodies[…] [ncbi.nlm.nih.gov] Chronic Right-Sided Congestive Heart Failure These mechanisms are responsible for the symptoms of diaphoresis, cool skin, tachycardia, cardiac arrhythmias, and oliguria. [medical-dictionary.thefreedictionary.com] Nocturia and oliguria Nocturia may occur relatively early in the course of heart failure. [emedicine.medscape.com] […] to diuretic therapy. [3, 56] The 2017 ACC/AHA focused update noted the following five criteria may be indications for renal replacement therapy in these patients [56] : Oliguria [emedicine.medscape.com] Malignant Neoplasm of the Prostate Abstract Previous studies suggest that enzymes involved in the androgen metabolic pathway are susceptibility factors for prostate cancer. Estrogen metabolites functioning as genotoxins have also been proposed as risk factors. In this study, we systematically tested the hypothesis that common genetic variations[…] [ncbi.nlm.nih.gov] Septicemia Signs include fever, hypotension, oliguria, and confusion. [merckmanuals.com] Renal Complications Oliguria Azotaemia Proteinuria Nonspecific casts 32. [slideshare.net] […] diagnosed when there is an infection somewhere in the body AND one of the following: Organ dysfunction (organ failure) Hypoxemia (inability to circulate oxygen to your tissues) Oliguria [christopherreeve.org] 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] Fractional Excretion of Sodium (FENa) may be useful if oliguria 7. [renalandurologynews.com] Disseminated Intravascular Coagulation Clinical history can include epistaxis, gingival bleeding, haematuria, oliguria, cough, dyspnoea, fever, delirium, and coma. [bestpractice.bmj.com] […] intravenous lines Hematuria Hematemesis, hematochezia Collection of blood in body cavities: features of hemoperitoneum, hemothorax Thrombotic manifestations Acute renal failure : oliguria [amboss.com] […] hematuria or ecchymoses Thrombosis can present as purpura fulminans (manifestation of subdermal microthrombi with skin necrosis) Cold, pulseless limb Sudden loss of vision Oliguria [pathologyoutlines.com] Neurogenic Bladder We describe the case of a 73-year-old woman with a history of chronic low back pain and 2 previous lumbar fusions who presented with complaints of worsening back and leg pain. Having previously undergone multiple interventions, physical therapy, and oral analgesics with limited pain relief, the patient opted for[…] [ncbi.nlm.nih.gov] 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] Neonatal Respiratory Distress Syndrome Oliguria and peripheral edema can be encountered. [symptoma.com] These manifestations progress to apnea, flaccidity, unresponsiveness, mottling, peripheral edema, oliguria, hypotension, and bradycardia. [medical-dictionary.thefreedictionary.com] seizures, oliguria) 36. Pathophysiology 37. Chest x-ray: Areas of hyperexpansion mixed with patchy densities and atelectasis 38. [slideshare.net] Postpartum Hemorrhage Blood loss of this volume will usually bring significant cardiovascular changes, such as hypotension, tachycardia, restlessness, pallor, oliguria, and cardiovascular collapse [mdedge.com] These include: oliguria headache pre-syncope Physical Exam Assess fundus for firmness, or lack thereof (bogginess). [sharinginhealth.ca] Low blood pressure Low pulse rate Oliguria or reduced urine Sudden and continuous vaginal bleeding or passing of large clots Fainting Rigors Fever Abdominal pain Method 4 [wikihow.com] Campylobacter Enteritis […] muscle pain, which are usually experienced during the first 24 hours of infection dehydration, which may also cause dizziness, nausea, headaches, dry mouth, tiredness, and oliguria [healthline.com] 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] Clinical signs may include any or all of the following: rapid weight gain, ascites, oliguria, hemoconcentration, leukocytosis, along with intravascular hypovolemia, hyponatremia [ncbi.nlm.nih.gov] Surgical intervention Paracentesis (drainage of ascites) – if tense ascites causing discomfort or to improve persistent oliguria. [icid.salisbury.nhs.uk]
