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Non-Oliguric Renal Failure

Renal Failure Non Oliguric


Presentation

  • Both cases presented during the monsoon season, with fever, abdominal pain and elevated concentrations of serum creatinine (4.3 and 5.6 mg/dl). Neither case required dialysis and both were successfully treated with penicillin.[ncbi.nlm.nih.gov]
  • We present an unusual case of acute lymphoblastic leukemia presenting as non-oliguric renal failure and hypertension in an adult patient along with the review of literature. To access this article, please choose from the options below[lrjournal.com]
  • ARF due to other causes as partial obstruction may present as polyuria. ARF due to postrenal obstruction may present as anuria. Diagnosis Renal failure is manifested by the rise of serum creatinine.[doctorslounge.com]
  • A renal biopsy may reveal the specific underlying disease, but crescent formation in 50% of glomeruli is usually present.[unboundmedicine.com]
Suprapubic Pain
  • Hyperkalaemia and non-oliguric renal failure associated with trimethoprim A 79 year old woman was admitted with urinary frequency and suprapubic pain.[bmj.com]
Liver Dysfunction
  • Six patients with nonoliguric acute renal failure had a fractional excretion of sodium less than or equal to 1.0%; these patients had severe liver dysfunction, which suggested a sodium-avid state.[annals.org]
  • dysfunction, septic shock, anesthesia 5.[slideshare.net]

Treatment

  • A case of acute interstitial nephritis (AIN) developing after cefaclor treatment is reported. Diagnosis was proofed by kidney biopsy and lymphocyte transformation test.[ncbi.nlm.nih.gov]
  • Both recovered completely and gave normal results in their post-treatment renal-function tests.[ncbi.nlm.nih.gov]
  • 545 Dialysis ultrafiltration and hemofiltration 555 Use of drugs in uremia and dialysis 567 Donor and recipient selection in renal transplantation 587 Immunosuppression and treatment of rejection in renal transplantation 595 XIII 606 Renal tubular and[books.google.de]
  • This acute renal failure improved upon cessation of zomepirac treatment. Renal biopsy disclosed the presence of a tubulointerstitial nephritis, which was thought to have been responsible for the acute renal failure in this patient.[mayoclinic.pure.elsevier.com]
  • Each chapter begins with normal function and pathophysiology and quickly moves to clinical conditions and treatment. Numerous illustrations, tables, charts, and graphs make complex subjects understandable. Up-to-date references are also included.[books.google.de]

Prognosis

  • Otherwise, predicting prognosis of ARF/AKI from a heterogenous group of patients with renal dysfunction would be problematic.[ndt.oxfordjournals.org]
  • Indicators of poor prognosis include older age, multiple organ failure, oliguria, hypotension, number of transfusions and acute on chronic kidney disease. Prognosis is closely related to the underlying cause.[patient.info]
  • Acute renal failure: A study of the course and prognosis of 104 patients and of the role of furosemide. Am J Med Sci 271: 317–324, 1976. PubMed CrossRef Google Scholar 55. Kleinknecht D, Ganevae D, Gonzalez-Duque LA, Fermanian J.[link.springer.com]
  • Children less than 1 year of age have worse survival prognosis. Children admitted to an intensive care unit (ICU) have worse survival than those who are not.[clinicaladvisor.com]

Etiology

  • The possible etiology of the renal failure was multiple in all cases and did not differ from that seen in oliguric acute tubular necrosis (ATN).[ncbi.nlm.nih.gov]
  • While they may help in the diagnosis and management of very specific etiologies like hepatorenal syndrome, most of the time a fluid challenge or diuresis will be the diagnostic and therapeutic tests of choice. JAMA. 1976 Aug 9;236(6):579-81.[medicine-matters.blogs.hopkinsmedicine.org]
  • Etiology Etiologies of AKI are classically divided according to the anatomic location of the physiologic defect.[unboundmedicine.com]
  • ATN was caused in the majority of patients who required RRT by a combination of etiologies, whereas 86% of the patients who do not require RRT had a single etiology.[clinchem.aaccjnls.org]
  • Systolic left ventricular dysfunction, glomerular etiology, malnutrition and late initiating of hemodialysis were proved to be associated with low residual diuresis in our study.[ncbi.nlm.nih.gov]

Epidemiology

  • (Demonstrates changing pediatric AKI epidemiology over 2 decades) Bailey, D, Phan, V, Litalien, C. “Risk factors of acute renal failure in critically ill children: a prospective descriptive epidemiological study”.[clinicaladvisor.com]
  • The RIFLE criteria, however, has allowed for a more systematic approach which is useful in epidemiological and research studies [ 3 ].[ndt.oxfordjournals.org]
  • Acute kidney injury: epidemiology and diagnostic criteria. Curr Opin Crit Care. 2006; 12: 531-537. Mehta RL, Kellum JA, Shah SV, Molitoris BA, Ronco C, Warnock DG. Acute Kidney Injury Network.[austinpublishinggroup.com]
  • The Emerging Infections Network (EIN) is a forum for infectious diseases consultants and public health officials to report information on clinical phenomena and epidemiological issues with public health significance.[news.idsociety.org]
  • AKI in the ICU: definition, epidemiology, risk stratification, and outcomes. Kidney Int. 2012;81(9):819-25. Wagner KD, Hardin-Pierce MG. High-Acuity Nursing . 6th ed. Upper Saddle River, NJ: Pearson Education, Inc.; 2013.[americannursetoday.com]
Sex distribution
Age distribution

Pathophysiology

  • This edition has been thoroughly revised by world-renowned contributors to reflect recent developments in renal pathophysiology.[books.google.de]
  • Even the pathophysiology of and specific therapeutic measures and (very impor ischaemic![books.google.de]
  • Pathophysiology of hemodynamically mediated acute renal failure in man. Kidney Int 18: 594–604, 1980. Google Scholar 45. Blantz RC. Mechanisms of acute renal failure after uranyl nitrate. J Clin Invest 55: 621–635, 1975.[link.springer.com]
  • Neonatology: Pathophysiology and management of newborn. 6th ed. Philadelphia. Lippincott Williams & Wilkins. 2005;2:1000-9. 3. Gouyon JB, Guignard JP. Management of acute renal failure in newborns. Pediatr Nephrol 2000;14(10-11):1037-44. 4.[pjms.com.pk]

Prevention

  • Aminoglycoside nephrotoxicity: Pathogenesis and prevention. Clin Nephrol 11: 251–256, 1979. PubMed Google Scholar 36. Fung-Herrera CB, Mulvaney WP.[link.springer.com]
  • American Journal of Cardiovascular Drugs. 2004; 4(1): 21-29 [Pubmed] 19 Prevention of perioperative acute renal failure: What works? Tang, I.Y., Murray, P.T.[jpgmonline.com]
  • […] underlying renal impairment probable that other disturbances in potassium homeostasis, such as hyopoaldosteronism and treatment with medications that impair renal potassium excretion, are also risk factors for hyperkalaemia with trimethoprim therapy prevention[gpnotebook.co.uk]
  • Preventing Acute Kidney Disease. RenalGuard. Available at . Accessed: November 1, 2016. Zarbock A, Schmidt C, Van Aken H, Wempe C, Martens S, Zahn PK, et al.[emedicine.medscape.com]

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