Presentation
We report on an 18-year-old woman with a combined urogynecological malformation who presented with anuria. [ncbi.nlm.nih.gov]
Entire Body System
- Sepsis
Renal failure in cases of acute lymphoblastic leukaemia during induction is mainly because of sepsis and tumour lysis syndrome. This 18-year-old man had sudden onset anuria with increase in creatine. [ncbi.nlm.nih.gov]
Home | CCC | Oliguria and Anuria Hot Case GENERAL APPROACH Type of renal failure Acute (usually multi-factorial) Chronic (e.g. dialysis dependent) or Acute on Chronic (e.g. post-renal transplant) Causes Pre-renal – hypovolemia, any cause of shock, sepsis [litfl.com]
We recently treated a patient who developed acute renal failure after abortion complicated by Clostridium welchii sepsis. [jamanetwork.com]
- Weakness
The patient often complains about weakness, fatigue, lack of appetite, vomiting tendency and dyspnea. Oliguria is low urine output (less than 400ml per 24 hours for adults). It is due to acute renal impairment. [imop.gr]
It is often associated with other symptoms of kidney failure, such as lack of appetite, weakness, nausea and vomiting. These are mostly the result of buildup of toxins in the blood which would normally be removed by healthy kidneys. [en.wikipedia.org]
Gastrointestinal
- Vomiting
Generalized weakness, decreased appetite, and repeated vomitings. [narayanahealth.org]
Excess fluid loss, diarrhea, or vomiting may also accompany anuria. Changes in voiding behavior may be observed by documenting the amount of urine excreted in a 24-hour period. [belmarrahealth.com]
Some cases are: Even after increased water intakes, no improvement is found in the urination In case of diarrhea if vomiting or a feeling of nausea, lightheadedness, fever, dizziness or fat pulse is observed [diseasesdic.com]
A 3-month-old girl was admitted because of poor feeding, vomiting, and diarrhoea without haemorrhage. She had anuria and severe hypertension, and laboratory results showed haemolytic anaemia with schizocytes, thrombocytopenia, and renal impairment. [ncbi.nlm.nih.gov]
The patient often complains about weakness, fatigue, lack of appetite, vomiting tendency and dyspnea. Oliguria is low urine output (less than 400ml per 24 hours for adults). It is due to acute renal impairment. [imop.gr]
- Nausea
It is often associated with other symptoms of kidney failure, such as lack of appetite, weakness, nausea and vomiting. These are mostly the result of buildup of toxins in the blood which would normally be removed by healthy kidneys. [en.wikipedia.org]
The symptoms of kidney disease can include: swelling in the legs, feet, ankles, face rash or itching of the skin flank pain in the back or side nausea or vomiting shortness of breath dizziness difficulty concentrating fatigue Symptoms of heart failure [medicalnewstoday.com]
- Diarrhea
She added that the classic clinical history and timeline of HUS—dehydration, bloody diarrhea, resolution of the diarrhea followed a day or two later by worsening symptoms of abdominal pain and fatigue—seals a diagnosis of HUS. [hopkinsmedicine.org]
Excess fluid loss, diarrhea, or vomiting may also accompany anuria. Changes in voiding behavior may be observed by documenting the amount of urine excreted in a 24-hour period. [belmarrahealth.com]
Intestinal obstruction or intense diarrhea may cause the loss of enormous amounts of fluid through vomiting or diarrhea, and the accompanying shock results in anuria. [doctorlib.info]
Causes of Anuria: Low Blood Pressure: This may be due to excessive blood loss, severe dehydration due to vomiting or diarrhea, or severe infection which decreases blood supply to kidneys leading to acute kidney injury and anuria. [narayanahealth.org]
- Loss of Appetite
[…] high heart rate coughing or wheezing Symptoms of diabetic ketoacidosis include: excessive thirst dry mouth vomiting abdominal pain diarrhea loss of appetite fatigue confusion fruity odor on the breath Anyone experiencing any of these signs or symptoms [medicalnewstoday.com]
Neurologic
- Headache
Yet fortunately there were neither clinical manifestations of pre-eclampsia such as severe headache, blurred vision, and palpitation, nor obvious abnormality of the aforementioned tests. [bmcpregnancychildbirth.biomedcentral.com]
The neuromuscular system may be affected, causing muscle tetany and weakness (due to calcium dysregulation), headache, delirium, convulsions, or even coma. The cardiovascular system also may be involved (pericarditis, anemia, hypertension). [web.archive.org]
- Excitement
Enter a word (“newspaper”), a word combination (“exciting trip”) or a phrase (“with all good wishes”) into the search box. [es.pons.com]
Urogenital
- Anuria
Pronunciation[edit] IPA(key): /aˈnu.rja/ Rhymes: -urja Syllabification: a‧nu‧ria Noun[edit] anuria f (medicine) anuria Synonym: bezmocz Declension[edit] Further reading[edit] anuria in Wielki słownik języka polskiego, Instytut Języka Polskiego PAN anuria [en.wiktionary.org]
Acute renal failure due to reflex anuria is related to a reflex mechanism involving arteriolar vasoconstriction and urethral spasm. Patients with reflex anuria can be successfully managed with medical or surgical interventions. [ncbi.nlm.nih.gov]
Medical Dictionary for the Health Professions and Nursing © Farlex 2012 anuria Cessation of the production of urine by the kidneys. Anuria is always very serious, unless of brief duration. [medical-dictionary.thefreedictionary.com]
- Uremia
Spontaneous discharge of the ureteral stone reversed the anuria and uremia. Both ureteral and vascular spasms were attributed to the anuria in this patient. [ncbi.nlm.nih.gov]
As regards recovery ofrenal function, doubt was cast on this view by reports from the scene of the Messina earthquake and by detailed studies of cases of post-traumatic uremia occurring in the German Army in World War I.1 Crush syndrome was rediscovered [jamanetwork.com]
Indications for acute dialysis • Acidosis (metabolic) • Electrolytes (hyperkalemia) • Ingestion of drugs/Ischemia • Overload (fluid) • Uremia By Younan Ramsees, MBBcH Revised by M.A.Wadood, MD, MRCS 13. [slideshare.net]
(12-55 years) Applicable To Kidney failure (acute) following ectopic and molar pregnancy Oliguria following ectopic and molar pregnancy Renal shutdown following ectopic and molar pregnancy Renal tubular necrosis following ectopic and molar pregnancy Uremia [icd10data.com]
- Prostatic Disease
Benign prostatic disease usually occurs in the middle of the prostate, whereas malignant prostatic disease tends to occur posteriorly, where the mass can be readily felt by rectal exam. [web.archive.org]
Workup
Renal causes can be differentiated by further workup. If intravascular hemolysis is suspected, a serum haptoglobin test should be ordered. [doctorlib.info]
Workup for rapidly progressive glomerulonephritis and kidney biopsy confirmed the diagnosis of anti-glomerular basement membrane disease. The patient responded to immunosuppression and plasmapheresis. [turkjnephrol.org]
Most notable in the workup was a low blood pressure reading of 80/48. With the exception of a grandmother with hypertension, her history was unremarkable—she suffered no allergies, was not on any medications, and her immunizations were up to date. [hopkinsmedicine.org]
Metabolic workup for cystinuria was performed via a positive nitroprusside test. The diagnosis was confirmed by stone analysis by use of chemical methods. [synapse.koreamed.org]
Treatment
Open surgical treatment was applied in 5 (20.8%), endoscopic treatment was applied in 15 (62.5%), while combined treatment was applied in 4 (16.6%) patients. All patients had normal serum creatinine on discharge. [ncbi.nlm.nih.gov]
FAIRLY SATISFACTORY methods of treatment are available for combating anuria resulting from obstructive and external causes.1 Therefore the present discussion will be limited to the treatment of those patients with previously adequate renal function in [jamanetwork.com]
Prognosis
Abstract Peritoneal dialysis patients with anuria have a poor prognosis because of uremia and volume overload. In the present paper, I discuss a suitable prescription for children with anuria. [ncbi.nlm.nih.gov]
Recognition of this entity is important, nevertheless, for a combination of prompt surgical intervention, good medical management and dialysis with the artificial kidney, if needed, should offer some chance of reversing an otherwise hopeless prognosis [nejm.org]
The 23-day-long anuria seemed to indicate an extremely poor prognosis and may have been related to delay in eradicating a residual uterine abscess which was a site of Clostridial infection. [jamanetwork.com]
Conclusion : Obstructive anuria is an urological emergency that involves immediate and functional prognosis of the kidney. Its management is closely related to the etiology of the obstruction which also determines the prognosis. [medcraveonline.com]
Etiology
As the epidemiology of AKI has significantly changed over the past decade, it is possible that the incidence, etiology, or clinical characteristics of anuric AKI have also changed. [mendeley.com]
The goal of therapeutic management is to remove the obstruction, to manage complications and metabolic disorders, and finally to treat the etiology [8,9]. The type of urinary diversion to propose differs from the etiology [10]. [medcraveonline.com]
Conclusion Anuric AKI is common, with sepsis as the main etiological insult, and is associated with adverse outcomes among patients with AKI who require RRT. [koreauniv.pure.elsevier.com]
For this reason, one should consider a fungal infestation in high-risk patients with obstructive uropathy of unknown etiology. [ncbi.nlm.nih.gov]
Epidemiology
As the epidemiology of AKI has significantly changed over the past decade, it is possible that the incidence, etiology, or clinical characteristics of anuric AKI have also changed. [koreauniv.pure.elsevier.com]
To our knowledge, this is the first epidemiological and analytical study on obstructive anuria carried out in the region of eastern Morocco. It is a medical and surgical emergency that can be life-threatening [1,4,5]. [medcraveonline.com]
The incidence of AKI has been increasing recently and significant changes have occurred in the epidemiology of AKI during the past decade [3]. [ncbi.nlm.nih.gov]
Pathophysiology
Metabolomics is a powerful tool which can be used to identify unexpected pathway-related disease progression and pathophysiological mechanisms. [ncbi.nlm.nih.gov]
J Endourol. 2012; 26: 792-796 Moe OW Kidney stones: pathophysiology and medical management. Lancet. 2006; 367: 333-344 Türk CG Knoll T Petrik A Sarica K Skolarikos A Straub M et al. Guidelines on urolithiasis. [ajemjournal.com]
Acute kidney injury from sepsis: current concepts, epidemiology, pathophysiology, prevention and treatment. Kidney Int. 2019;96(5):1083-1099. doi:10.1016/j.kint.2019.05.026 21. Puskarich MA, Jones AE. Sepsis. [emdocs.net]
Pathophysiology of experimental nonoliguric acute renal failure. Kidney Int, 1993;43;513-521. Mehta, RL. Fluid balance and acute kidney injury: the missing link for predicting adverse outcomes?. Nat Clin Pract Nephrol, 2009;5;10-11. [krcp-ksn.org]
The pathophysiology of ischemic acute tubular necrosis is well studied. [emedicine.medscape.com]
Prevention
Prompt and early intervention can save the life of patient and prevent to develop chronic renal failure. [ncbi.nlm.nih.gov]
Prevention How can I prevent anuria? If you have any type of chronic illness, like diabetes or heart failure, follow your healthcare provider’s instructions on staying well. [my.clevelandclinic.org]
Use of dexamethasone has been described by Hamdy and Williams (1995) [1] to relieve ureteric obstruction and prevent PCN but the response with the drug had come after 2-5 days in their set of evaluated patients. [indianjurol.com]