Acute tubular necrosis screening: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Acute tubular necrosis}} | {{Acute tubular necrosis}} | ||
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==Overview== | ==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== | ==Screening== | ||
* Screening for acute tubular necrosis is usually not recommended for asymptomatic individuals. | * Screening for acute tubular necrosis is usually not recommended for asymptomatic individuals. | ||
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** 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 | |||
** [[Creatinine|Serum creatinine]] | ** [[Creatinine|Serum creatinine]] | ||
** [[Urine]] volume | ** [[Urine]] volume |
Revision as of 18:22, 22 May 2018
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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
- 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
- Serum creatinine
- Urine volume
- Blood urea nitrogen (BUN)
- Urine sediment and microscopy
- Urine electrolytes
- Serum electrolytes