Acute tubular necrosis screening: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Acute tubular necrosis}} | {{Acute tubular necrosis}} | ||
{{CK}} | {{CMG}}; {{AE}} {{CK}} | ||
==Overview== | ==Overview== | ||
[[Screening (medicine)|Screening]] for acute tubular necrosis is usually not recommended for asymptomatic individuals. [[Screening (medicine)|Screening]] is usually recommended for [[Patient|patients]] who are at high risk for developing acute tubular necrosis. Screening evaluation includes measurement of serum [[creatinine]], urine output, [[blood urea nitrogen]], urinary and serum electrolytes. | |||
Screening for acute tubular necrosis is usually not recommended for asymptomatic individuals. Screening is usually recommended for patients who are at high risk for developing acute tubular necrosis. | |||
==Screening== | ==Screening== | ||
* Screening for acute tubular necrosis is usually not recommended for asymptomatic individuals. | * [[Screening (medicine)|Screening]] for acute tubular necrosis is usually not recommended for asymptomatic individuals. | ||
* Screening is usually recommended for patients who are at high risk including | * Screening is usually recommended for [[Patient|patients]] who are at high risk including | ||
** Patients with recent abdominal and cardiac surgery | ** Patients with recent abdominal and cardiac surgery | ||
** Severe [[Hypovolemia|volume depletion]] | ** Severe [[Hypovolemia|volume depletion]] | ||
| Line 15: | Line 14: | ||
** Severe [[Acute pancreatitis|pancreatitis]] | ** Severe [[Acute pancreatitis|pancreatitis]] | ||
** [[Comorbidity|Comorbid]] conditions (eg, [[diabetes mellitus]], [[Chronic renal failure|chronic kidney disease]], [[atherosclerosis]]) | ** [[Comorbidity|Comorbid]] conditions (eg, [[diabetes mellitus]], [[Chronic renal failure|chronic kidney disease]], [[atherosclerosis]]) | ||
Patients who are taking nephrotoxic medication | ** Patients who are taking nephrotoxic medication | ||
* [[Screening (medicine)|Screening]] evaluation includes measurement of the following:<ref name="pmid27670788">{{cite journal |vauthors=Ostermann M, Joannidis M |title=Acute kidney injury 2016: diagnosis and diagnostic workup |journal=Crit Care |volume=20 |issue=1 |pages=299 |date=September 2016 |pmid=27670788 |pmc=5037640 |doi=10.1186/s13054-016-1478-z |url=}}</ref><ref name="pmid8267149">{{cite journal |vauthors=Kellen M, Aronson S, Roizen MF, Barnard J, Thisted RA |title=Predictive and diagnostic tests of renal failure: a review |journal=Anesth. Analg. |volume=78 |issue=1 |pages=134–42 |date=January 1994 |pmid=8267149 |doi= |url=}}</ref> | |||
** [[Creatinine|Serum creatinine]] | ** [[Creatinine|Serum creatinine]] | ||
** [[Urine]] volume | ** [[Urine]] volume | ||
| Line 22: | Line 22: | ||
** Urine [[Electrolyte|electrolytes]] | ** Urine [[Electrolyte|electrolytes]] | ||
** Serum [[Electrolyte|electrolytes]] | ** Serum [[Electrolyte|electrolytes]] | ||
** [[Medical ultrasonography|Ultrasonography]] | |||
Latest revision as of 16:03, 23 May 2018
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Acute tubular necrosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Acute tubular necrosis screening On the Web |
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American Roentgen Ray Society Images of Acute tubular necrosis screening |
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Risk calculators and risk factors for Acute tubular necrosis screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Chandrakala Yannam, MD [2]
Overview
Screening for acute tubular necrosis is usually not recommended for asymptomatic individuals. Screening is usually recommended for patients who are at high risk for developing acute tubular necrosis. Screening evaluation includes measurement of serum creatinine, urine output, blood urea nitrogen, urinary and serum electrolytes.
Screening
- Screening for acute tubular necrosis is usually not recommended for asymptomatic individuals.
- Screening is usually recommended for patients who are at high risk including
- Patients with recent abdominal and cardiac surgery
- Severe volume depletion
- Hemorrhagic shock
- Rhabdomyolysis
- Sepsis
- Severe pancreatitis
- Comorbid conditions (eg, diabetes mellitus, chronic kidney disease, atherosclerosis)
- Patients who are taking nephrotoxic medication
- Screening evaluation includes measurement of the following:[1][2]
- Serum creatinine
- Urine volume
- Blood urea nitrogen (BUN)
- Urine sediment and microscopy
- Urine electrolytes
- Serum electrolytes
- Ultrasonography
References
- ↑ Ostermann M, Joannidis M (September 2016). "Acute kidney injury 2016: diagnosis and diagnostic workup". Crit Care. 20 (1): 299. doi:10.1186/s13054-016-1478-z. PMC 5037640. PMID 27670788.
- ↑ Kellen M, Aronson S, Roizen MF, Barnard J, Thisted RA (January 1994). "Predictive and diagnostic tests of renal failure: a review". Anesth. Analg. 78 (1): 134–42. PMID 8267149.