Oliguria differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Oliguria]] | |||
{{CMG}};{{AE}}{{HM}} | {{CMG}};{{AE}} {{HM}}, {{EG}}, {{Anmol}} | ||
==Overview== | |||
There are several life-threatening causes of oliguria which is needed to be evaluated, which include [[sepsis]], [[urethral stricture]], [[dehydration]], and [[shock]]. The other possible causes of oliguria can be evaluated by carefully assessing the nature of the symptoms, and obtaining a thorough patient history. | |||
==Oliguria Differential Diagnosis== | |||
== | ===The following table outlines the major differential diagnoses of oliguria:=== | ||
'''''To review the differential diagnosis of oliguria with thirst, [[Oliguria with thirst|click here]].''''' | |||
'''''To review the differential diagnosis of oliguria with muscle weakness, [[Oliguria with muscle weakness|click here]].''''' | |||
'''''To review the differential diagnosis of oliguria with somatic pain, [[Oliguria with somatic pain|click here]].''''' | |||
''' | '''''To review the differential diagnosis of oliguria with vomiting, [[Oliguria with vomiting|click here]].''''' | ||
'''''To review the differential diagnosis of oliguria | '''''To review the differential diagnosis of oliguria with diarrhea, [[Oliguria with diarrhea|click here]].''''' | ||
'''''To review the differential diagnosis of oliguria | '''''To review the differential diagnosis of oliguria with tachypnea, [[Oliguria with tachypnea|click here]].''''' | ||
'''''To review the differential diagnosis of oliguria | '''''To review the differential diagnosis of oliguria with edema, [[Oliguria with edema|click here]].''''' | ||
'''''To review the differential diagnosis of oliguria | '''''To review the differential diagnosis of oliguria with fatigue and thirst, [[Oliguria with fatigue and thirst|click here]].''''' | ||
'''''To review the differential diagnosis of oliguria | '''''To review the differential diagnosis of oliguria with fatigue and tachypnea, [[Oliguria with fatigue and tachypnea|click here]].''''' | ||
'''''To review the differential diagnosis of oliguria and | '''''To review the differential diagnosis of oliguria with fatigue and edema, [[Oliguria with fatigue and edema|click here]].''''' | ||
'''''To review the differential diagnosis of oliguria and | '''''To review the differential diagnosis of oliguria with fatigue, vomiting, and diarrhea, [[Oliguria with fatigue, vomiting, and diarrhea|click here]].''''' | ||
'''''To review the differential diagnosis of oliguria and | '''''To review the differential diagnosis of oliguria with fatigue, somatic pain, vomiting, and diarrhea, [[Oliguria with fatigue, somatic pain, vomiting, and diarrhea|click here]].''''' | ||
'''''To review the differential diagnosis of oliguria and | '''''To review the differential diagnosis of oliguria with fatigue, somatic pain, vomiting, diarrhea, and edema [[Oliguria with fatigue, somatic pain, vomiting, diarrhea, and edema|click here]].''''' | ||
''''' | '''Abbreviations:''' [[Arterial blood gas|ABG]] = [[Arterial blood gas|Arterial blood gases]], [[BUN]] = [[Blood urea nitrogen]], [[Complete blood count|CBC]] = [[Complete blood count]], [[Computed tomography|CT]] = [[Computed tomography]], CRP = C - reactive protein, [[ECG]] = [[Electrocardiogram]], ESR = [[Erythrocyte sedimentation rate]], IVP = Intravenous pyelography, [[Renal function|KFT]] = [[Renal function tests|Kidney function test]], GI = Gastrointestinal, GFR = [[Glomerular filtration rate]], [[Magnetic resonance imaging|MRI]] = [[Magnetic resonance imaging]], [[PT]] = [[Prothrombin time]] | ||
{| | |||
! colspan="2" rowspan="3" style="background:#4479BA; color: #FFFFFF;" |Etiology | |||
! colspan="9" style="background:#4479BA; color: #FFFFFF;" |Clinical manifestations | |||
{| | |||
! | |||
! colspan=" | |||
! colspan="11" style="background:#4479BA; color: #FFFFFF;" |Paraclinical findings | ! colspan="11" style="background:#4479BA; color: #FFFFFF;" |Paraclinical findings | ||
! rowspan="3" style="background:#4479BA; color: #FFFFFF;" |Comments | ! rowspan="3" style="background:#4479BA; color: #FFFFFF;" |Comments | ||
|- | |- | ||
! colspan=" | ! colspan="9" style="background:#4479BA; color: #FFFFFF;" |Symptoms and signs | ||
! colspan="6" style="background:#4479BA; color: #FFFFFF;" |Lab findings | ! colspan="6" style="background:#4479BA; color: #FFFFFF;" |Lab findings | ||
! colspan="5" style="background:#4479BA; color: #FFFFFF;" |Imaging | ! colspan="5" style="background:#4479BA; color: #FFFFFF;" |Imaging | ||
|- | |- | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/Lethargy | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/ | ||
Lethargy | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/Confusion | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/ | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/cramp | Confusion | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/visceral pain | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/ | ||
cramp | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/ | |||
visceral pain | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Blood indices | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Renal Funtion test | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Electrolytes | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Urine analysis | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |ABG | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Ultrasound | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |X-ray | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |CT | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |MRI | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
|- | |- | ||
! rowspan=" | ! rowspan="24" style="background: #DCDCDC; padding: 5px; text-align: center;" |Prerenal causes | ||
|[[Alcohol poisoning]]<ref name="pmid15589492">{{cite journal |vauthors=Pletcher MJ, Maselli J, Gonzales R |title=Uncomplicated alcohol intoxication in the emergency department: an analysis of the National Hospital Ambulatory Medical Care Survey |journal=Am. J. Med. |volume=117 |issue=11 |pages=863–7 |date=December 2004 |pmid=15589492 |doi=10.1016/j.amjmed.2004.07.042 |url=}}</ref><ref name="pmid2927129">{{cite journal |vauthors=Cherpitel CJ |title=Breath analysis and self-reports as measures of alcohol-related emergency room admissions |journal=J. Stud. Alcohol |volume=50 |issue=2 |pages=155–61 |date=March 1989 |pmid=2927129 |doi= |url=}}</ref> | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Alcohol poisoning]]<ref name="pmid15589492">{{cite journal |vauthors=Pletcher MJ, Maselli J, Gonzales R |title=Uncomplicated alcohol intoxication in the emergency department: an analysis of the National Hospital Ambulatory Medical Care Survey |journal=Am. J. Med. |volume=117 |issue=11 |pages=863–7 |date=December 2004 |pmid=15589492 |doi=10.1016/j.amjmed.2004.07.042 |url=}}</ref><ref name="pmid2927129">{{cite journal |vauthors=Cherpitel CJ |title=Breath analysis and self-reports as measures of alcohol-related emergency room admissions |journal=J. Stud. Alcohol |volume=50 |issue=2 |pages=155–61 |date=March 1989 |pmid=2927129 |doi= |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | + | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/- | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/- | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | + | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/- | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[PT]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] (isopropyl [[alcohol]]) | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Bicarbonate|HCO3]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Liver function tests|LFT]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Administer [[thiamine]] to prevent [[Wernicke's encephalopathy]] | |||
| | |||
| | |||
| | |||
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| | |||
| | |||
|- | |- | ||
|[[Aspergillosis]]<ref name="pmid11880955">{{cite journal |vauthors=Marr KA, Carter RA, Crippa F, Wald A, Corey L |title=Epidemiology and outcome of mould infections in hematopoietic stem cell transplant recipients |journal=Clin. Infect. Dis. |volume=34 |issue=7 |pages=909–17 |date=April 2002 |pmid=11880955 |doi=10.1086/339202 |url=}}</ref><ref name="pmid16886149">{{cite journal |vauthors=Cornillet A, Camus C, Nimubona S, Gandemer V, Tattevin P, Belleguic C, Chevrier S, Meunier C, Lebert C, Aupée M, Caulet-Maugendre S, Faucheux M, Lelong B, Leray E, Guiguen C, Gangneux JP |title=Comparison of epidemiological, clinical, and biological features of invasive aspergillosis in neutropenic and nonneutropenic patients: a 6-year survey |journal=Clin. Infect. Dis. |volume=43 |issue=5 |pages=577–84 |date=September 2006 |pmid=16886149 |doi=10.1086/505870 |url=}}</ref> | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Aspergillosis|'''Aspergillosis''']]<ref name="pmid11880955">{{cite journal |vauthors=Marr KA, Carter RA, Crippa F, Wald A, Corey L |title=Epidemiology and outcome of mould infections in hematopoietic stem cell transplant recipients |journal=Clin. Infect. Dis. |volume=34 |issue=7 |pages=909–17 |date=April 2002 |pmid=11880955 |doi=10.1086/339202 |url=}}</ref><ref name="pmid16886149">{{cite journal |vauthors=Cornillet A, Camus C, Nimubona S, Gandemer V, Tattevin P, Belleguic C, Chevrier S, Meunier C, Lebert C, Aupée M, Caulet-Maugendre S, Faucheux M, Lelong B, Leray E, Guiguen C, Gangneux JP |title=Comparison of epidemiological, clinical, and biological features of invasive aspergillosis in neutropenic and nonneutropenic patients: a 6-year survey |journal=Clin. Infect. Dis. |volume=43 |issue=5 |pages=577–84 |date=September 2006 |pmid=16886149 |doi=10.1086/505870 |url=}}</ref> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Allergy test]], ↑[[IgE]] (>1000 IU/dl), direct visualization of [[Hyphae|fungal hyphae]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Pulmonary infiltrates, [[Mucus|mucus plug]], mass in the upper lobe surrounded by a crescent of air, solitary or multiple cavities | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Halo sign, wedge-shaped pulmonary [[infarction]], [[granuloma]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Polymerase chain reaction|Polymerase chain reaction (PCR)]] confirms the diagnosis | |||
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|[[Cholera]]<ref name="pmid19842974">{{cite journal |vauthors=Weil AA, Khan AI, Chowdhury F, Larocque RC, Faruque AS, Ryan ET, Calderwood SB, Qadri F, Harris JB |title=Clinical outcomes in household contacts of patients with cholera in Bangladesh |journal=Clin. Infect. Dis. |volume=49 |issue=10 |pages=1473–9 |date=November 2009 |pmid=19842974 |pmc=2783773 |doi=10.1086/644779 |url=}}</ref><ref name="pmid4809112">{{cite journal |vauthors=Cash RA, Music SI, Libonati JP, Snyder MJ, Wenzel RP, Hornick RB |title=Response of man to infection with Vibrio cholerae. I. Clinical, serologic, and bacteriologic responses to a known inoculum |journal=J. Infect. Dis. |volume=129 |issue=1 |pages=45–52 |date=January 1974 |pmid=4809112 |doi= |url=}}</ref><ref name="pmid4809112">{{cite journal |vauthors=Cash RA, Music SI, Libonati JP, Snyder MJ, Wenzel RP, Hornick RB |title=Response of man to infection with Vibrio cholerae. I. Clinical, serologic, and bacteriologic responses to a known inoculum |journal=J. Infect. Dis. |volume=129 |issue=1 |pages=45–52 |date=January 1974 |pmid=4809112 |doi= |url=}}</ref><ref name="pmid21696312">{{cite journal |vauthors=Harris JB, Ivers LC, Ferraro MJ |title=Case records of the Massachusetts General Hospital. Case 19-2011. A 4-year-old Haitian boy with vomiting and diarrhea |journal=N. Engl. J. Med. |volume=364 |issue=25 |pages=2452–61 |date=June 2011 |pmid=21696312 |doi=10.1056/NEJMcpc1100927 |url=}}</ref> | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cholera|'''Cholera''']]<ref name="pmid19842974">{{cite journal |vauthors=Weil AA, Khan AI, Chowdhury F, Larocque RC, Faruque AS, Ryan ET, Calderwood SB, Qadri F, Harris JB |title=Clinical outcomes in household contacts of patients with cholera in Bangladesh |journal=Clin. Infect. Dis. |volume=49 |issue=10 |pages=1473–9 |date=November 2009 |pmid=19842974 |pmc=2783773 |doi=10.1086/644779 |url=}}</ref><ref name="pmid4809112">{{cite journal |vauthors=Cash RA, Music SI, Libonati JP, Snyder MJ, Wenzel RP, Hornick RB |title=Response of man to infection with Vibrio cholerae. I. Clinical, serologic, and bacteriologic responses to a known inoculum |journal=J. Infect. Dis. |volume=129 |issue=1 |pages=45–52 |date=January 1974 |pmid=4809112 |doi= |url=}}</ref><ref name="pmid4809112">{{cite journal |vauthors=Cash RA, Music SI, Libonati JP, Snyder MJ, Wenzel RP, Hornick RB |title=Response of man to infection with Vibrio cholerae. I. Clinical, serologic, and bacteriologic responses to a known inoculum |journal=J. Infect. Dis. |volume=129 |issue=1 |pages=45–52 |date=January 1974 |pmid=4809112 |doi= |url=}}</ref><ref name="pmid21696312">{{cite journal |vauthors=Harris JB, Ivers LC, Ferraro MJ |title=Case records of the Massachusetts General Hospital. Case 19-2011. A 4-year-old Haitian boy with vomiting and diarrhea |journal=N. Engl. J. Med. |volume=364 |issue=25 |pages=2452–61 |date=June 2011 |pmid=21696312 |doi=10.1056/NEJMcpc1100927 |url=}}</ref> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | Depends on severity | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Leukocytosis]], ↑[[Hematocrit|HCT]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]], ↑[[Ca]], ↑[[Mg]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Lactate]], ↓[[Bicarbonate|HCO3]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Stool PCR, stool culture, serotyping | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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|[[Congestive heart failure]] (CHF)<ref name="pmid17724259">{{cite journal |vauthors=Solomon SD, Dobson J, Pocock S, Skali H, McMurray JJ, Granger CB, Yusuf S, Swedberg K, Young JB, Michelson EL, Pfeffer MA |title=Influence of nonfatal hospitalization for heart failure on subsequent mortality in patients with chronic heart failure |journal=Circulation |volume=116 |issue=13 |pages=1482–7 |date=September 2007 |pmid=17724259 |doi=10.1161/CIRCULATIONAHA.107.696906 |url=}}</ref><ref name="pmid15687312">{{cite journal |vauthors=Fonarow GC, Adams KF, Abraham WT, Yancy CW, Boscardin WJ |title=Risk stratification for in-hospital mortality in acutely decompensated heart failure: classification and regression tree analysis |journal=JAMA |volume=293 |issue=5 |pages=572–80 |date=February 2005 |pmid=15687312 |doi=10.1001/jama.293.5.572 |url=}}</ref> | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Congestive heart failure]] (CHF)<ref name="pmid17724259">{{cite journal |vauthors=Solomon SD, Dobson J, Pocock S, Skali H, McMurray JJ, Granger CB, Yusuf S, Swedberg K, Young JB, Michelson EL, Pfeffer MA |title=Influence of nonfatal hospitalization for heart failure on subsequent mortality in patients with chronic heart failure |journal=Circulation |volume=116 |issue=13 |pages=1482–7 |date=September 2007 |pmid=17724259 |doi=10.1161/CIRCULATIONAHA.107.696906 |url=}}</ref><ref name="pmid15687312">{{cite journal |vauthors=Fonarow GC, Adams KF, Abraham WT, Yancy CW, Boscardin WJ |title=Risk stratification for in-hospital mortality in acutely decompensated heart failure: classification and regression tree analysis |journal=JAMA |volume=293 |issue=5 |pages=572–80 |date=February 2005 |pmid=15687312 |doi=10.1001/jama.293.5.572 |url=}}</ref> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | + | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Anemia]], [[leukocytosis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]], ↑[[Potassium|K]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Lactate]], ↓[[Bicarbonate|HCO3]], | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[BNP]], ↑[[troponin]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Cardiomegaly]], [[pulmonary hypertension]], [[pleural effusion]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Pulmonary edema]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Valvular heart disease]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Decreased [[ejection fraction]] in [[echocardiography]], decreased heart function and damage in nuclear imaging | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
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|- | |- | ||
|[[Dehydration]]<ref name="pmid15187057">{{cite journal |vauthors=Steiner MJ, DeWalt DA, Byerley JS |title=Is this child dehydrated? |journal=JAMA |volume=291 |issue=22 |pages=2746–54 |date=June 2004 |pmid=15187057 |doi=10.1001/jama.291.22.2746 |url=}}</ref><ref name="pmid9220501">{{cite journal |vauthors=Vega RM, Avner JR |title=A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children |journal=Pediatr Emerg Care |volume=13 |issue=3 |pages=179–82 |date=June 1997 |pmid=9220501 |doi= |url=}}</ref> | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Dehydration]]<ref name="pmid15187057">{{cite journal |vauthors=Steiner MJ, DeWalt DA, Byerley JS |title=Is this child dehydrated? |journal=JAMA |volume=291 |issue=22 |pages=2746–54 |date=June 2004 |pmid=15187057 |doi=10.1001/jama.291.22.2746 |url=}}</ref><ref name="pmid9220501">{{cite journal |vauthors=Vega RM, Avner JR |title=A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children |journal=Pediatr Emerg Care |volume=13 |issue=3 |pages=179–82 |date=June 1997 |pmid=9220501 |doi= |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
Depends on the severity | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]], ↑[[Potassium|K]], ↓[[Chloride|Cl]] | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑ Urine [[ketone]]s and [[glucose]], ↑urine specific gravity | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Lactate]], ↓[[Bicarbonate|HCO3]] | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Hypoglycemia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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|- | |- | ||
|[[Diarrhea]] and/or [[vomiting]]<ref name="pmid2178747">{{cite journal |vauthors=Carpenter DO |title=Neural mechanisms of emesis |journal=Can. J. Physiol. Pharmacol. |volume=68 |issue=2 |pages=230–6 |date=February 1990 |pmid=2178747 |doi= |url=}}</ref><ref name="pmid22454468">{{cite journal |vauthors=Bresee JS, Marcus R, Venezia RA, Keene WE, Morse D, Thanassi M, Brunett P, Bulens S, Beard RS, Dauphin LA, Slutsker L, Bopp C, Eberhard M, Hall A, Vinje J, Monroe SS, Glass RI |title=The etiology of severe acute gastroenteritis among adults visiting emergency departments in the United States |journal=J. Infect. Dis. |volume=205 |issue=9 |pages=1374–81 |date=May 2012 |pmid=22454468 |doi=10.1093/infdis/jis206 |url=}}</ref> | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Diarrhea]] and/or [[vomiting]]<ref name="pmid2178747">{{cite journal |vauthors=Carpenter DO |title=Neural mechanisms of emesis |journal=Can. J. Physiol. Pharmacol. |volume=68 |issue=2 |pages=230–6 |date=February 1990 |pmid=2178747 |doi= |url=}}</ref><ref name="pmid22454468">{{cite journal |vauthors=Bresee JS, Marcus R, Venezia RA, Keene WE, Morse D, Thanassi M, Brunett P, Bulens S, Beard RS, Dauphin LA, Slutsker L, Bopp C, Eberhard M, Hall A, Vinje J, Monroe SS, Glass RI |title=The etiology of severe acute gastroenteritis among adults visiting emergency departments in the United States |journal=J. Infect. Dis. |volume=205 |issue=9 |pages=1374–81 |date=May 2012 |pmid=22454468 |doi=10.1093/infdis/jis206 |url=}}</ref> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Leukocytosis]] with predominant [[neutrophilia]], ↑[[ESR]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑ Urine [[ketones]], organic acids, [[porphobilinogen]], [[aminolevulinic acid]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Stool [[anion gap]], stool pH < 5.5, stool culture, serotyping, enzyme immunoassay ([[rotavirus]] or [[adenovirus]]), abnormal [[Liver function tests|LFT]], [[amylase]], [[lipase]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Normal | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
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|- | |- | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Etiology | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/ | |||
Lethargy | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/ | |||
Confusion | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/ | |||
cramp | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/ | |||
visceral pain | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Blood indices | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Renal Funtion test | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Electrolytes | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Urine analysis | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |ABG | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Ultrasound | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |X-ray | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |CT | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |MRI | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Comments | |||
| | |||
|- | |- | ||
! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Drugs]]/[[Toxin|toxins]]<ref name="pmid1883120">{{cite journal |vauthors=Toto RD, Mitchell HC, Lee HC, Milam C, Pettinger WA |title=Reversible renal insufficiency due to angiotensin converting enzyme inhibitors in hypertensive nephrosclerosis |journal=Ann. Intern. Med. |volume=115 |issue=7 |pages=513–9 |date=October 1991 |pmid=1883120 |doi= |url=}}</ref><ref name="pmid4715199">{{cite journal |vauthors=Bismuth C, Gaultier M, Conso F, Efthymiou ML |title=Hyperkalemia in acute digitalis poisoning: prognostic significance and therapeutic implications |journal=Clin. Toxicol. |volume=6 |issue=2 |pages=153–62 |date=1973 |pmid=4715199 |doi=10.3109/15563657308990513 |url=}}</ref> | |||
|[[ | |||
- | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]], ↑[[Creatine kinase|CK]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Potassium|K]], ↓[[Magnesium|Mg]], ↓[[Ca]], ↓[[Phosphate|P]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Ingested drug, [[glucose]], [[aminoacid]], [[phosphate]], [[ketone]], [[hyaline cast]], and [[RBC]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Lactate]], [[metabolic acidosis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Toxicology]], rapid [[immunoassay]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Nephropathy]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Radioopaque substances, ingested drug packets | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
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|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Esophageal varices|'''Esophageal varices bleeding''']]<ref name="pmid6970703">{{cite journal |vauthors=Graham DY, Smith JL |title=The course of patients after variceal hemorrhage |journal=Gastroenterology |volume=80 |issue=4 |pages=800–9 |date=April 1981 |pmid=6970703 |doi= |url=}}</ref><ref name="pmid20638742">{{cite journal |vauthors=de Franchis R |title=Revising consensus in portal hypertension: report of the Baveno V consensus workshop on methodology of diagnosis and therapy in portal hypertension |journal=J. Hepatol. |volume=53 |issue=4 |pages=762–8 |date=October 2010 |pmid=20638742 |doi=10.1016/j.jhep.2010.06.004 |url=}}</ref> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Normocytic normochromic anemia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Velocity and direction of [[portal]] flow | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Abnormal opacities outside of[[esophageal]] wall, posterior [[mediastinal]] or intraparenchymal mass, dilated [[azygous vein]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Entire portal venous system | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Portrays [[esophageal varices]] as flow voids | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Portal hypertension and [[esophageal varices]] in [[positron emission tomography]], flexible [[endoscope]], [[barium swallow]] of snake-like filling defects | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
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|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Congenital heart disease]]<ref name="pmid2030718">{{cite journal |vauthors=LaCroix AZ, Lang J, Scherr P, Wallace RB, Cornoni-Huntley J, Berkman L, Curb JD, Evans D, Hennekens CH |title=Smoking and mortality among older men and women in three communities |journal=N. Engl. J. Med. |volume=324 |issue=23 |pages=1619–25 |date=June 1991 |pmid=2030718 |doi=10.1056/NEJM199106063242303 |url=}}</ref><ref name="pmid19581259">{{cite journal |vauthors=Mahle WT, Newburger JW, Matherne GP, Smith FC, Hoke TR, Koppel R, Gidding SS, Beekman RH, Grosse SD |title=Role of pulse oximetry in examining newborns for congenital heart disease: a scientific statement from the AHA and AAP |journal=Pediatrics |volume=124 |issue=2 |pages=823–36 |date=August 2009 |pmid=19581259 |doi=10.1542/peds.2009-1397 |url=}}</ref> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[ESR]] and [[CRP]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Throat culture]], rapid streptococcal antigen test, hyperoxia test, [[pulse oximetry]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Cardiomegaly]], [[dextrocardia]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Ventricular dysfunction]], left and right ventricular [[hypertrophy]], valvular disease in [[echocardiography]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hemorrhage]]<ref name="pmid21098468">{{cite journal |vauthors=Achneck HE, Sileshi B, Parikh A, Milano CA, Welsby IJ, Lawson JH |title=Pathophysiology of bleeding and clotting in the cardiac surgery patient: from vascular endothelium to circulatory assist device surface |journal=Circulation |volume=122 |issue=20 |pages=2068–77 |date=November 2010 |pmid=21098468 |doi=10.1161/CIRCULATIONAHA.110.936773 |url=}}</ref><ref name="pmid3487361">{{cite journal |vauthors=Gralnick HR, Rick ME, McKeown LP, Williams SB, Parker RI, Maisonneuve P, Jenneau C, Sultan Y |title=Platelet von Willebrand factor: an important determinant of the bleeding time in type I von Willebrand's disease |journal=Blood |volume=68 |issue=1 |pages=58–61 |date=July 1986 |pmid=3487361 |doi= |url=}}</ref> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | Depends on the severity | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Normocytic normochromic anemia]], ↑[[PT]], ↑[[PTT]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Sodium|Na]], ↑[[Chloride|Cl]], ↓[[Ca]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Metabolic acidosis]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Peritoneal cavity fluid in [[FAST]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Bilateral opacities in the lung field, [[hemothorax]], hemoperitoneum, ruptured [[abdominal aortic aneurysm]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Intrathoracic, intra-abdominal, and retroperitoneal [[bleeding]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Source of [[bleeding]] in the upper GI in [[Esophagogastroduodenoscopy|EGD]], [[angiography]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
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|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hemolysis]]<ref name="pmid3814817">{{cite journal |vauthors=Liesveld JL, Rowe JM, Lichtman MA |title=Variability of the erythropoietic response in autoimmune hemolytic anemia: analysis of 109 cases |journal=Blood |volume=69 |issue=3 |pages=820–6 |date=March 1987 |pmid=3814817 |doi= |url=}}</ref><ref name="pmid7365971">{{cite journal |vauthors=Marchand A, Galen RS, Van Lente F |title=The predictive value of serum haptoglobin in hemolytic disease |journal=JAMA |volume=243 |issue=19 |pages=1909–11 |date=May 1980 |pmid=7365971 |doi= |url=}}</ref> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Thrombocytopenia|Thrombocytopenia,]] [[Microcytic anemia|microcytic hypochromic anemia]], ↑RDW, ↑[[Reticulocyte|retic count]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[LDH]], ↓[[haptoglobin]], ↑unconjugated [[bilirubin]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Hepatomegaly]], [[splenomegaly]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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|- | |- | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Etiology | |||
| | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/ | ||
| | Lethargy | ||
| | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/ | |||
Confusion | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/ | |||
cramp | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/ | |||
visceral pain | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Blood indices | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Renal Funtion test | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Electrolytes | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Urine analysis | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |ABG | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Ultrasound | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |X-ray | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |CT | |||
| | ! align="center" style="background:#4479BA; color: #FFFFFF;" |MRI | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Comments | |||
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|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hepatorenal syndrome]]<ref name="pmid19776409">{{cite journal |vauthors=Ginès P, Schrier RW |title=Renal failure in cirrhosis |journal=N. Engl. J. Med. |volume=361 |issue=13 |pages=1279–90 |date=September 2009 |pmid=19776409 |doi=10.1056/NEJMra0809139 |url=}}</ref><ref name="pmid8550036">{{cite journal |vauthors=Arroyo V, Ginès P, Gerbes AL, Dudley FJ, Gentilini P, Laffi G, Reynolds TB, Ring-Larsen H, Schölmerich J |title=Definition and diagnostic criteria of refractory ascites and hepatorenal syndrome in cirrhosis. International Ascites Club |journal=Hepatology |volume=23 |issue=1 |pages=164–76 |date=January 1996 |pmid=8550036 |doi=10.1002/hep.510230122 |url=}}</ref> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Leukocytosis]], ↑[[PT]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Glomerular filtration rate|GFR]], ↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Proteinuria]], [[Sodium|Na]] <10mEq/L, [[urine osmolality]] > [[plasma osmolality]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Alpha fetoprotein|Alpha feto-protein]], [[cryoglobulinemia]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Exclude [[hydronephrosis]] and intrinsic renal disease | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Right ventricular preload, ventricular filling pressures, and cardiac function in [[echocardiography]] | |||
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|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cardiomyopathy|Ischemic cardiomyopathy]]<ref name="pmid16567565">{{cite journal |vauthors=Maron BJ, Towbin JA, Thiene G, Antzelevitch C, Corrado D, Arnett D, Moss AJ, Seidman CE, Young JB |title=Contemporary definitions and classification of the cardiomyopathies: an American Heart Association Scientific Statement from the Council on Clinical Cardiology, Heart Failure and Transplantation Committee; Quality of Care and Outcomes Research and Functional Genomics and Translational Biology Interdisciplinary Working Groups; and Council on Epidemiology and Prevention |journal=Circulation |volume=113 |issue=14 |pages=1807–16 |date=April 2006 |pmid=16567565 |doi=10.1161/CIRCULATIONAHA.106.174287 |url=}}</ref><ref name="pmid15689345">{{cite journal |vauthors=Corrado D, Pelliccia A, Bjørnstad HH, Vanhees L, Biffi A, Borjesson M, Panhuyzen-Goedkoop N, Deligiannis A, Solberg E, Dugmore D, Mellwig KP, Assanelli D, Delise P, van-Buuren F, Anastasakis A, Heidbuchel H, Hoffmann E, Fagard R, Priori SG, Basso C, Arbustini E, Blomstrom-Lundqvist C, McKenna WJ, Thiene G |title=Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology |journal=Eur. Heart J. |volume=26 |issue=5 |pages=516–24 |date=March 2005 |pmid=15689345 |doi=10.1093/eurheartj/ehi108 |url=}}</ref> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Anemia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Cr]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]], ↓[[Potassium|K]], ↓[[Magnesium|Mg]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Troponin]], [[creatine kinase]], [[Creatine kinase]]-MB, [[Brain natriuretic peptide|BNP]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Abnormal cardiac silhouette | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Biventricular volume, wall motion abnormality, myocardial perfusion, [[hypertrophic cardiomyopathy]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Mid-wall [[fibrosis]] in [[MRI]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Ejection fraction ≤35%, pulmonary embolism, right ventricular dilation or [[pericardial effusion]] with tamponade in [[echocardiography]] | |||
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|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Liver cirrhosis]]<ref name="pmid24076364">{{cite journal |vauthors=Ge PS, Runyon BA |title=The changing role of beta-blocker therapy in patients with cirrhosis |journal=J. Hepatol. |volume=60 |issue=3 |pages=643–53 |date=March 2014 |pmid=24076364 |doi=10.1016/j.jhep.2013.09.016 |url=}}</ref><ref name="pmid3533689">{{cite journal |vauthors=Becker CD, Scheidegger J, Marincek B |title=Hepatic vein occlusion: morphologic features on computed tomography and ultrasonography |journal=Gastrointest Radiol |volume=11 |issue=4 |pages=305–11 |date=1986 |pmid=3533689 |doi= |url=}}</ref> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Abnormal [[Liver function tests|LFT]], [[aspartate aminotransferase]] to [[platelet]] ratio, FibroTest/FibroSure, Hepascore | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Portal blood flow velocity, [[hepatic artery]] enlargement, multifocal lesions or masses, hepatic contour, [[ascites]], [[splenomegaly]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Bowel perforation]], [[gynecomastia]], [[azygos vein]] enlargement, [[pleural effusion]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Morphologic changes in the liver, collaterals and shunts, hyperattenuating nodule of [[hepatocellular carcinoma]], [[portal vein thrombosis]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Vacular patency, tumor invasion, [[portal vein thrombosis]], [[steatosis]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Hepatic]] function and [[portal hypertension]] in nuclear imaging, [[hepatic]] perfusion and the development of [[shunt]]s and [[tumor]]s in [[angiography]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Irreversible and a transplant is usually needed | ||
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|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malignant hypertension]]<ref name="pmid23102030">{{cite journal |vauthors=Johnson W, Nguyen ML, Patel R |title=Hypertension crisis in the emergency department |journal=Cardiol Clin |volume=30 |issue=4 |pages=533–43 |date=November 2012 |pmid=23102030 |doi=10.1016/j.ccl.2012.07.011 |url=}}</ref><ref name="pmid16627047">{{cite journal |vauthors=Elliott WJ |title=Clinical features in the management of selected hypertensive emergencies |journal=Prog Cardiovasc Dis |volume=48 |issue=5 |pages=316–25 |date=2006 |pmid=16627047 |doi=10.1016/j.pcad.2006.02.004 |url=}}</ref> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+ | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Microangiopathic hemolytic anemia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Sodium|Na]], ↑[[Potassium|K]], ↑[[Phosphate|P]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Proteinuria]], [[microscopic hematuria]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Acidosis]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Cardiac enzymes]], urinary [[catecholamines]], [[TSH]], ↑[[Renin]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Cardiomegaly, [[pulmonary edema]], rib notching, [[aortic coarctation]], mediastinal widening, [[aortic dissection]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Left atrial enlargement and left ventricular [[hypertrophy]] in [[echocardiography]] | |||
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! align="center" style="background:#4479BA; color: #FFFFFF;" |Etiology | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/ | |||
Lethargy | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/ | |||
Confusion | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/ | |||
cramp | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/ | |||
visceral pain | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Blood indices | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Renal Funtion test | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Electrolytes | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Urine analysis | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |ABG | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Ultrasound | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |X-ray | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |CT | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |MRI | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Comments | |||
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|- | |- | ||
|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Myocarditis]]<ref name="pmid39746742">{{cite journal |vauthors=Dec GW, Palacios IF, Fallon JT, Aretz HT, Mills J, Lee DC, Johnson RA |title=Active myocarditis in the spectrum of acute dilated cardiomyopathies. Clinical features, histologic correlates, and clinical outcome |journal=N. Engl. J. Med. |volume=312 |issue=14 |pages=885–90 |date=April 1985 |pmid=3974674 |doi=10.1056/NEJM198504043121404 |url=}}</ref> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Leukocytosis]] ([[eosinophilia]]),↑[[ESR]] and ↑[[CRP]] | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Cardiac enzymes]], viral antibodies | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Inflammatory [[edema]], degree of scarring | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Endomyocardial biopsy]], [[echocardiography]], [[scintigraphy]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | |||
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|- | |- | ||
|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Peritonitis]]<ref name="pmid97980132">{{cite journal |vauthors=Such J, Runyon BA |title=Spontaneous bacterial peritonitis |journal=Clin. Infect. Dis. |volume=27 |issue=4 |pages=669–74; quiz 675–6 |date=October 1998 |pmid=9798013 |doi= |url=}}</ref><ref name="pmid22106722">{{cite journal |vauthors=Runyon BA |title=Monomicrobial nonneutrocytic bacterascites: a variant of spontaneous bacterial peritonitis |journal=Hepatology |volume=12 |issue=4 Pt 1 |pages=710–5 |date=October 1990 |pmid=2210672 |doi= |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Leukocytosis]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Ascitic fluid [[neutrophil]] count > 500 cells/µL | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | |||
| | |||
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|- | |- | ||
! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Polycythemia]]<ref name="pmid90251652">{{cite journal |vauthors=Gregg XT, Prchal JT |title=Erythropoietin receptor mutations and human disease |journal=Semin. Hematol. |volume=34 |issue=1 |pages=70–6 |date=January 1997 |pmid=9025165 |doi= |url=}}</ref><ref name="pmid92925432">{{cite journal |vauthors=Kralovics R, Indrak K, Stopka T, Berman BW, Prchal JF, Prchal JT |title=Two new EPO receptor mutations: truncated EPO receptors are most frequently associated with primary familial and congenital polycythemias |journal=Blood |volume=90 |issue=5 |pages=2057–61 |date=September 1997 |pmid=9292543 |doi= |url=}}</ref> | |||
- | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[RBC]], ↑[[Hematocrit|HCT]], ↑[[Hemoglobin|HGB]], [[thrombocytosis]], [[leukocytosis]], ↑[[PT]], and ↑[[aPTT]] | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Erythropoietin]] | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Hyperuricemia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Splenomegaly]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Phlebotomy]] is the usual treatment | |||
| | |||
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|- | |- | ||
|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Respiratory distress syndrome]]<ref name="pmid265428772">{{cite journal |vauthors=Hooper SB, Te Pas AB, Kitchen MJ |title=Respiratory transition in the newborn: a three-phase process |journal=Arch. Dis. Child. Fetal Neonatal Ed. |volume=101 |issue=3 |pages=F266–71 |date=May 2016 |pmid=26542877 |doi=10.1136/archdischild-2013-305704 |url=}}</ref> | ||
|<nowiki>+ | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Metabolic acidosis|Metabolic]] and [[Metabolic acidosis|respiratory acidosis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Pulse oximetry]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Bilateral, diffuse, reticular granular or ground-glass appearance +/- [[cardiomegaly]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Patent ductus arteriosus]] in [[echocardiography]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Shock]]<ref name="pmid24171518">{{cite journal |vauthors=Vincent JL, De Backer D |title=Circulatory shock |journal=N. Engl. J. Med. |volume=369 |issue=18 |pages=1726–34 |date=October 2013 |pmid=24171518 |doi=10.1056/NEJMra1208943 |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Hematocrit|HCT]], ↑[[PT]] and [[aPTT]], [[Eosinophilia]], [[Leukocytosis]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Glomerular filtration rate|GFR]], ↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Lactate]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Liver function tests|LFT]], ↑[[BNP]], ↑[[troponin]], [[D-dimer]], [[fibrinogen]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Pulmonary embolism]], [[pericardial effusion]], [[cardiac tamponade]], [[pneumothorax]], thoracic or [[abdominal aortic aneurysm]] in RUSH (Rapid Ultrasound for Shock and Hypotension) | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Pneumonia]], [[pneumothorax]], [[pulmonary edema]], widened [[mediastinum]], free air under the [[diaphragm]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Traumatic brain injury, [[stroke]], spinal injury, [[pneumonia]], [[pPneumothorax]], ruptured [[aneurysm]], [[aortic dissection]], [[pulmonary embolism]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Toxic megacolon]]<ref name="pmid5305933">{{cite journal |vauthors=Jalan KN, Sircus W, Card WI, Falconer CW, Bruce CB, Crean GP, McManus JP, Small WP, Smith AN |title=An experience of ulcerative colitis. I. Toxic dilation in 55 cases |journal=Gastroenterology |volume=57 |issue=1 |pages=68–82 |date=July 1969 |pmid=5305933 |doi= |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Leukocytosis]], [[anemia]], ↑[[ESR]] and ↑[[CRP]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Loss of haustra, hypoechoic and thick bowel walls, dilated [[colon]] > 6cm, dilatation of ileal loops | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Dilated [[colon]], free intraperitoneal air | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Bowel perforation]], [[abscess]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Endoscopy]] and [[colonoscopy]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
|- | |- | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/Lethargy | ! colspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Etiology | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/ | |||
Lethargy | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/Confusion | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/ | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/cramp | Confusion | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/visceral pain | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/ | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | cramp | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/ | ||
visceral pain | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Blood indices | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Renal Funtion test | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Electrolytes | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Urine analysis | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |ABG | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Ultrasound | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |X-ray | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |CT | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |MRI | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Comments | |||
! | |||
|- | |- | ||
! rowspan="12" style="background: #DCDCDC; padding: 5px; text-align: center;" |Renal causes | |||
|<nowiki>+/-</nowiki> | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Acute interstitial nephritis]]<ref name="pmid11020015">{{cite journal |vauthors=Schwarz A, Krause PH, Kunzendorf U, Keller F, Distler A |title=The outcome of acute interstitial nephritis: risk factors for the transition from acute to chronic interstitial nephritis |journal=Clin. Nephrol. |volume=54 |issue=3 |pages=179–90 |date=September 2000 |pmid=11020015 |doi= |url=}}</ref><ref name="pmid20336051">{{cite journal |vauthors=Praga M, González E |title=Acute interstitial nephritis |journal=Kidney Int. |volume=77 |issue=11 |pages=956–61 |date=June 2010 |pmid=20336051 |doi=10.1038/ki.2010.89 |url=}}</ref> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Eosinophilia]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]], ↑[[Fractional sodium excretion|FENa]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Eosinophiluria, [[Pyuria|sterile pyuria]], [[mMicroscopic hematuria]], [[proteinuria]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑Total [[IgG]], ↑[[IgG4-related systemic disease|IgG4]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Normal-sized [[Kidney|kidneys]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |History of long term [[analgesic]] use | |||
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|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Acute tubular necrosis]]<ref name="pmid22890468">{{cite journal |vauthors=Khwaja A |title=KDIGO clinical practice guidelines for acute kidney injury |journal=Nephron Clin Pract |volume=120 |issue=4 |pages=c179–84 |date=2012 |pmid=22890468 |doi=10.1159/000339789 |url=}}</ref><ref name="pmid15680458">{{cite journal |vauthors=Lameire N, Van Biesen W, Vanholder R |title=Acute renal failure |journal=Lancet |volume=365 |issue=9457 |pages=417–30 |date=2005 |pmid=15680458 |doi=10.1016/S0140-6736(05)17831-3 |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Anemia]] | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]], ↑[[Fractional sodium excretion|FENa]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]], ↑[[Potassium|K]], ↑[[Magnesium|Mg]], ↑[[Phosphate|P]], ↓[[Calcium|Ca]] | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Pigmented, muddy brown, granular casts | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Obstructive uropathy]], cortical thickness, [[hydronephrosis]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Nephrolithiasis]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Nephrolithiasis]], area of [[obstruction]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Nephrolithiasis]], area of [[obstruction]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Loss of [[Tubular|tubular cells]] or the denuded tubules, swollen [[Tubular|tubular cells]], lLoss of the cell brush border in [[Kidney|renal biopsy]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Furosemide]] stress testing for staging | ||
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|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cancer]]<ref name="pmid16360438">{{cite journal |vauthors=Gudbjartsson T, Thoroddsen A, Petursdottir V, Hardarson S, Magnusson J, Einarsson GV |title=Effect of incidental detection for survival of patients with renal cell carcinoma: results of population-based study of 701 patients |journal=Urology |volume=66 |issue=6 |pages=1186–91 |date=December 2005 |pmid=16360438 |doi=10.1016/j.urology.2005.07.009 |url=}}</ref><ref name="pmid5125665">{{cite journal |vauthors=Skinner DG, Colvin RB, Vermillion CD, Pfister RC, Leadbetter WF |title=Diagnosis and management of renal cell carcinoma. A clinical and pathologic study of 309 cases |journal=Cancer |volume=28 |issue=5 |pages=1165–77 |date=November 1971 |pmid=5125665 |doi= |url=}}</ref> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Normocytic anemia|Normocytic]] or [[microcytic anemia]], [[leukocytosis]] or [[lymphocytosis]], ↑[[reticulocytes]], [[thrombocytopenia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Glomerular filtration rate|GFR]], ↑[[Blood urea nitrogen|BUN]], ↑[[Cr]], ↓[[Erythropoietin]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]], ↑[[Potassium|K]], ↓[[Magnesium|Mg]], ↑[[Phosphate|P]], ↓[[Calcium|Ca]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Gross [[hematuria]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Liver function tests|LFT]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Fluid collection and morphological change, flank mass | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Calcification]] and widened mediastinum, filling defects in [[Barium|barium contrast]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Metastasis and [[Cancer staging|staging]], cystic and solid masses, [[lymph node]], [[renal vein]], and [[inferior vena cava]] involvement | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Soft tissue]] invasion and [[Cancer staging|staging]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Malignant]] cystic lesions [[percutaneous]] cyst puncture | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Renal cell carcinoma]] types: [[Clear cell]] (75%), chromophilic (15%), [[chromophobic]] (5%), [[oncocytoma]] (3%), [[collecting duct]] (2%) | |||
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|[[Congenital kidney disease]]<ref name="pmid12197558">{{cite journal |vauthors=Queisser-Luft A, Stolz G, Wiesel A, Schlaefer K, Spranger J |title=Malformations in newborn: results based on 30,940 infants and fetuses from the Mainz congenital birth defect monitoring system (1990-1998) |journal=Arch. Gynecol. Obstet. |volume=266 |issue=3 |pages=163–7 |date=July 2002 |pmid=12197558 |doi= |url=}}</ref><ref name="pmid19536081">{{cite journal |vauthors=Sanna-Cherchi S, Ravani P, Corbani V, Parodi S, Haupt R, Piaggio G, Innocenti ML, Somenzi D, Trivelli A, Caridi G, Izzi C, Scolari F, Mattioli G, Allegri L, Ghiggeri GM |title=Renal outcome in patients with congenital anomalies of the kidney and urinary tract |journal=Kidney Int. |volume=76 |issue=5 |pages=528–33 |date=September 2009 |pmid=19536081 |doi=10.1038/ki.2009.220 |url=}}</ref><ref name="pmid11992035">{{cite journal |vauthors=Glassberg KI |title=Normal and abnormal development of the kidney: a clinician's interpretation of current knowledge |journal=J. Urol. |volume=167 |issue=6 |pages=2339–50; discussion 2350–1 |date=June 2002 |pmid=11992035 |doi= | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Congenital disease|'''Congenital kidney disease''']]<ref name="pmid12197558">{{cite journal |vauthors=Queisser-Luft A, Stolz G, Wiesel A, Schlaefer K, Spranger J |title=Malformations in newborn: results based on 30,940 infants and fetuses from the Mainz congenital birth defect monitoring system (1990-1998) |journal=Arch. Gynecol. Obstet. |volume=266 |issue=3 |pages=163–7 |date=July 2002 |pmid=12197558 |doi= |url=}}</ref><ref name="pmid19536081">{{cite journal |vauthors=Sanna-Cherchi S, Ravani P, Corbani V, Parodi S, Haupt R, Piaggio G, Innocenti ML, Somenzi D, Trivelli A, Caridi G, Izzi C, Scolari F, Mattioli G, Allegri L, Ghiggeri GM |title=Renal outcome in patients with congenital anomalies of the kidney and urinary tract |journal=Kidney Int. |volume=76 |issue=5 |pages=528–33 |date=September 2009 |pmid=19536081 |doi=10.1038/ki.2009.220 |url=}}</ref><ref name="pmid11992035">{{cite journal |vauthors=Glassberg KI |title=Normal and abnormal development of the kidney: a clinician's interpretation of current knowledge |journal=J. Urol. |volume=167 |issue=6 |pages=2339–50; discussion 2350–1 |date=June 2002 |pmid=11992035 |doi= |url=}}</ref> | ||
- [[Agenesis]] | - [[Agenesis]] | ||
Line 1,431: | Line 747: | ||
- [[Hypoplasia]] | - [[Hypoplasia]] | ||
- [[Polycystic]] | - [[Polycystic kidney disease|Polycystic]] | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Hematocrit|HCT]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Glomerular filtration rate|GFR]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Phosphate|P]], ↓[[Calcium|Ca]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Microalbuminuria]], [[uricosuria]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Genetic testing for[[Autosomal dominant polycystic kidney disease|ADPKD2]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Visualization of [[Cysts|kidney cysts]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Small kidney cysts (0.5 cm) | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Kidney]] size, [[intracranial aneurysms]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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|[[End stage renal disease]]<ref name="pmid20054047">{{cite journal |vauthors=Abboud H, Henrich WL |title=Clinical practice. Stage IV chronic kidney disease |journal=N. Engl. J. Med. |volume=362 |issue=1 |pages=56–65 |date=January 2010 |pmid=20054047 |doi=10.1056/NEJMcp0906797 |url=}}</ref><ref name="pmid28614683">{{cite journal |vauthors=Denic A, Mathew J, Lerman LO, Lieske JC, Larson JJ, Alexander MP, Poggio E, Glassock RJ, Rule AD |title=Single-Nephron Glomerular Filtration Rate in Healthy Adults |journal=N. Engl. J. Med. |volume=376 |issue=24 |pages=2349–2357 |date=June 2017 |pmid=28614683 |pmc=5664219 |doi=10.1056/NEJMoa1614329 |url=}}</ref> | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[End stage renal disease]]<ref name="pmid20054047">{{cite journal |vauthors=Abboud H, Henrich WL |title=Clinical practice. Stage IV chronic kidney disease |journal=N. Engl. J. Med. |volume=362 |issue=1 |pages=56–65 |date=January 2010 |pmid=20054047 |doi=10.1056/NEJMcp0906797 |url=}}</ref><ref name="pmid28614683">{{cite journal |vauthors=Denic A, Mathew J, Lerman LO, Lieske JC, Larson JJ, Alexander MP, Poggio E, Glassock RJ, Rule AD |title=Single-Nephron Glomerular Filtration Rate in Healthy Adults |journal=N. Engl. J. Med. |volume=376 |issue=24 |pages=2349–2357 |date=June 2017 |pmid=28614683 |pmc=5664219 |doi=10.1056/NEJMoa1614329 |url=}}</ref> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Anemia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Glomerular filtration rate|GFR]], ↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Potassium|K]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Hypoalbuminuria]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Bicarbonate|HCO3]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Phosphate]], [[25-hydroxy vitamin D]], [[alkaline phosphatase]], [[parathyroid hormone]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Hydronephrosis]], [[retroperitoneal fibrosis]], enlarged or shrunken [[kidneys]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Obstruction]] in [[retrograde pyelogram]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Renal masses, [[Kidney stone|stones]], and [[cysts]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Renal vein thrombosis]], [[renal artery stenosis]] in magnetic resonance [[angiography]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Percutaneous renal [[biopsy]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
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|Endogenous toxins<ref name="pmid20533382">{{cite journal |vauthors=Borowitz MJ, Craig FE, Digiuseppe JA, Illingworth AJ, Rosse W, Sutherland DR, Wittwer CT, Richards SJ |title=Guidelines for the diagnosis and monitoring of paroxysmal nocturnal hemoglobinuria and related disorders by flow cytometry |journal=Cytometry B Clin Cytom |volume=78 |issue=4 |pages=211–30 |date=July 2010 |pmid=20533382 |doi=10.1002/cyto.b.20525 |url=}}</ref><ref name="pmid6282181">{{cite journal |vauthors=Knochel JP |title=Rhabdomyolysis and myoglobinuria |journal=Annu. Rev. Med. |volume=33 |issue= |pages=435–43 |date=1982 |pmid=6282181 |doi=10.1146/annurev.me.33.020182.002251 |url=}}</ref><ref name="pmid17338959">{{cite journal |vauthors=Giannoglou GD, Chatzizisis YS, Misirli G |title=The syndrome of rhabdomyolysis: Pathophysiology and diagnosis |journal=Eur. J. Intern. Med. |volume=18 |issue=2 |pages=90–100 |date=March 2007 |pmid=17338959 |doi=10.1016/j.ejim.2006.09.020 |url=}}</ref><ref name="pmid6645213">{{cite journal |vauthors=Coe FL |title=Uric acid and calcium oxalate nephrolithiasis |journal=Kidney Int. |volume=24 |issue=3 |pages=392–403 |date=September 1983 |pmid=6645213 |doi= |url=}}</ref><ref name="pmid15202612">{{cite journal |vauthors=Maalouf NM, Cameron MA, Moe OW, Sakhaee K |title=Novel insights into the pathogenesis of uric acid nephrolithiasis |journal=Curr. Opin. Nephrol. Hypertens. |volume=13 |issue=2 |pages=181–9 |date=March 2004 |pmid=15202612 |doi= |url=}}</ref> | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Etiology | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/ | |||
Lethargy | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/ | |||
Confusion | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/ | |||
cramp | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/ | |||
visceral pain | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Blood indices | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Renal Funtion test | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Electrolytes | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Urine analysis | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |ABG | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Ultrasound | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |X-ray | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |CT | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |MRI | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Comments | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Toxin|'''Endogenous toxins''']]<ref name="pmid20533382">{{cite journal |vauthors=Borowitz MJ, Craig FE, Digiuseppe JA, Illingworth AJ, Rosse W, Sutherland DR, Wittwer CT, Richards SJ |title=Guidelines for the diagnosis and monitoring of paroxysmal nocturnal hemoglobinuria and related disorders by flow cytometry |journal=Cytometry B Clin Cytom |volume=78 |issue=4 |pages=211–30 |date=July 2010 |pmid=20533382 |doi=10.1002/cyto.b.20525 |url=}}</ref><ref name="pmid6282181">{{cite journal |vauthors=Knochel JP |title=Rhabdomyolysis and myoglobinuria |journal=Annu. Rev. Med. |volume=33 |issue= |pages=435–43 |date=1982 |pmid=6282181 |doi=10.1146/annurev.me.33.020182.002251 |url=}}</ref><ref name="pmid17338959">{{cite journal |vauthors=Giannoglou GD, Chatzizisis YS, Misirli G |title=The syndrome of rhabdomyolysis: Pathophysiology and diagnosis |journal=Eur. J. Intern. Med. |volume=18 |issue=2 |pages=90–100 |date=March 2007 |pmid=17338959 |doi=10.1016/j.ejim.2006.09.020 |url=}}</ref><ref name="pmid6645213">{{cite journal |vauthors=Coe FL |title=Uric acid and calcium oxalate nephrolithiasis |journal=Kidney Int. |volume=24 |issue=3 |pages=392–403 |date=September 1983 |pmid=6645213 |doi= |url=}}</ref><ref name="pmid15202612">{{cite journal |vauthors=Maalouf NM, Cameron MA, Moe OW, Sakhaee K |title=Novel insights into the pathogenesis of uric acid nephrolithiasis |journal=Curr. Opin. Nephrol. Hypertens. |volume=13 |issue=2 |pages=181–9 |date=March 2004 |pmid=15202612 |doi= |url=}}</ref> | |||
- [[Hemoglobin]] | - [[Hemoglobin]] | ||
Line 1,519: | Line 826: | ||
- [[Uric acid]] | - [[Uric acid]] | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
|<nowiki>+ | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Anemia|Anemia]], [[thrombocytopenia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Glomerular filtration rate|GFR]], ↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Potassium|K]], ↑[[urate]], ↓[[Calcium|Ca]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Uricosuria]], [[hematuria]], [[myoglobinuria]], [[Urinary casts|casts]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Creatine kinase]] > 1000 U/L | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Malignant or cystic lesions, [[hydronephrosis]], [[nephrocalcinosis]], [[urolithiasis]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Urolithiasis]], [[wilms tumor]], [[polycystic kidney disease]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Ureter]] or [[Urinary bladder|bladder]] abnormality in voiding cystourethrography | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
|<nowiki>-</nowiki> | |||
| | |||
|<nowiki>-</nowiki> | |||
| | |||
|<nowiki>-</nowiki> | |||
| | |||
|[[ | |||
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|[[ | |||
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|- | |- | ||
|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Glomerulonephritis]]<ref name="pmid2915517">{{cite journal |vauthors=Ellis EN, Mauer SM, Sutherland DE, Steffes MW |title=Glomerular capillary morphology in normal humans |journal=Lab. Invest. |volume=60 |issue=2 |pages=231–6 |date=February 1989 |pmid=2915517 |doi= |url=}}</ref><ref name="pmid27373970">{{cite journal |vauthors=Dickinson BL |title=Unraveling the immunopathogenesis of glomerular disease |journal=Clin. Immunol. |volume=169 |issue= |pages=89–97 |date=August 2016 |pmid=27373970 |doi=10.1016/j.clim.2016.06.011 |url=}}</ref><ref name="pmid7955787">{{cite journal |vauthors=Trachtman H, Bergwerk A, Gauthier B |title=Isolated proteinuria in children. Natural history and indications for renal biopsy |journal=Clin Pediatr (Phila) |volume=33 |issue=8 |pages=468–72 |date=August 1994 |pmid=7955787 |doi=10.1177/000992289403300804 |url=}}</ref> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+ | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Pleocytosis]], [[anemia]], [[leukocytosis]], ↑[[ESR]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Specific gravity (kidney)|Specific gravity]] > 1.020, [[proteinuria]], [[hematuria]], [[red blood cell]] casts, [[white blood cell]] casts, cellular casts, oval fat bodies | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[C3 (complement)|C3]], ↑[[C4A|C4]], ↑[[CH|CH50]], [[Blood culture|blood]] and tissue culture, [[antinuclear antibodies]], [[cryoglobulin]]s, [[hepatitis B]] and C [[Serological testing|serologies]], [[antineutrophil cytoplasmic antibody]] ([[ANCA]]) | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Kidney size, echogenicity of the renal cortex, obstruction, degree of [[fibrosis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Pulmonary congestion]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Visceral [[abscesses]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Renal [[biopsy]], light and electron microscopy, immunofluorescence aid diagnosis | |||
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|- | |- | ||
|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Goodpasture syndrome]]<ref name="pmid12969182">{{cite journal |vauthors=Pusey CD |title=Anti-glomerular basement membrane disease |journal=Kidney Int. |volume=64 |issue=4 |pages=1535–50 |date=October 2003 |pmid=12969182 |doi=10.1046/j.1523-1755.2003.00241.x |url=}}</ref><ref name="pmid8914046">{{cite journal |vauthors=Bolton WK |title=Goodpasture's syndrome |journal=Kidney Int. |volume=50 |issue=5 |pages=1753–66 |date=November 1996 |pmid=8914046 |doi= |url=}}</ref><ref name="pmid8589284">{{cite journal |vauthors=Kalluri R, Wilson CB, Weber M, Gunwar S, Chonko AM, Neilson EG, Hudson BG |title=Identification of the alpha 3 chain of type IV collagen as the common autoantigen in antibasement membrane disease and Goodpasture syndrome |journal=J. Am. Soc. Nephrol. |volume=6 |issue=4 |pages=1178–85 |date=October 1995 |pmid=8589284 |doi= |url=}}</ref> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Anemia]], [[Leukocytosis|leukocytosis]], ↑[[ESR]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Low-grade [[proteinuria]], gross or [[microscopic hematuria]], [[RBC casts]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Anti– glomerular [[basement membrane]] antibody, [[Anti-neutrophil cytoplasmic antibody|antineutrophilic cytoplasmic antibody]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Bilateral, basal, patchy [[Consolidation (medicine)|parenchymal consolidations]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Diffuse [[alveolar]] [[Hemorrhages|hemorrhage]] in [[pulmonary]] [[biopsy]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hemolytic uremic syndrome]]<ref name="pmid15728781">{{cite journal |vauthors=Noris M, Remuzzi G |title=Hemolytic uremic syndrome |journal=J. Am. Soc. Nephrol. |volume=16 |issue=4 |pages=1035–50 |date=April 2005 |pmid=15728781 |doi=10.1681/ASN.2004100861 |url=}}</ref><ref name="pmid27989322">{{cite journal |vauthors=Goodship TH, Cook HT, Fakhouri F, Fervenza FC, Frémeaux-Bacchi V, Kavanagh D, Nester CM, Noris M, Pickering MC, Rodríguez de Córdoba S, Roumenina LT, Sethi S, Smith RJ |title=Atypical hemolytic uremic syndrome and C3 glomerulopathy: conclusions from a "Kidney Disease: Improving Global Outcomes" (KDIGO) Controversies Conference |journal=Kidney Int. |volume=91 |issue=3 |pages=539–551 |date=March 2017 |pmid=27989322 |doi=10.1016/j.kint.2016.10.005 |url=}}</ref><ref name="pmid25859752">{{cite journal |vauthors=Loirat C, Fakhouri F, Ariceta G, Besbas N, Bitzan M, Bjerre A, Coppo R, Emma F, Johnson S, Karpman D, Landau D, Langman CB, Lapeyraque AL, Licht C, Nester C, Pecoraro C, Riedl M, van de Kar NC, Van de Walle J, Vivarelli M, Frémeaux-Bacchi V |title=An international consensus approach to the management of atypical hemolytic uremic syndrome in children |journal=Pediatr. Nephrol. |volume=31 |issue=1 |pages=15–39 |date=January 2016 |pmid=25859752 |doi=10.1007/s00467-015-3076-8 |url=}}</ref> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Severe [[anemia]], [[thrombocytopenia]], ↑[[aPTT]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Mild [[proteinuria]], [[Red blood cell]]s, [[Red blood cell]] casts | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Schistocytes]], ↑[[Fibrin degradation product|FDP]] and [[D-dimer]], ↑[[bilirubin]], ↑[[Lactate dehydrogenase|LDH]], ↓[[haptoglobin]], stool culture (for [[E coli]] 0157:H7 or [[shigella]]), ↓[[ADAMTS-13]] activity | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Ruling out [[obstruction]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Diffuse thickening of the [[glomerular]] capillary wall, swelling of [[endothelial cells]], [[fibrin]] [[thrombi]] in renal [[biopsy]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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|- | |- | ||
|[[ | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Nephrolithiasis]]<ref name="pmid23283137">{{cite journal |vauthors=Fwu CW, Eggers PW, Kimmel PL, Kusek JW, Kirkali Z |title=Emergency department visits, use of imaging, and drugs for urolithiasis have increased in the United States |journal=Kidney Int. |volume=83 |issue=3 |pages=479–86 |date=March 2013 |pmid=23283137 |pmc=3587650 |doi=10.1038/ki.2012.419 |url=}}</ref><ref name="pmid26349951">{{cite journal |vauthors=Singh P, Enders FT, Vaughan LE, Bergstralh EJ, Knoedler JJ, Krambeck AE, Lieske JC, Rule AD |title=Stone Composition Among First-Time Symptomatic Kidney Stone Formers in the Community |journal=Mayo Clin. Proc. |volume=90 |issue=10 |pages=1356–65 |date=October 2015 |pmid=26349951 |pmc=4593754 |doi=10.1016/j.mayocp.2015.07.016 |url=}}</ref><ref name="pmid14960744">{{cite journal |vauthors=Teichman JM |title=Clinical practice. Acute renal colic from ureteral calculus |journal=N. Engl. J. Med. |volume=350 |issue=7 |pages=684–93 |date=February 2004 |pmid=14960744 |doi=10.1056/NEJMcp030813 |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
- | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+/-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
|<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Mild [[leukocytosis]], ↑[[CRP]] | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
|<nowiki>-</nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Sodium|Na]], ↑[[Potassium|K]], ↑[[Phosphate|P]], ↑[[Calcium|Ca]], ↑[[urate]] | ||
|<nowiki> | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Gross or [[microscopic hematuria]], [[Red blood cell]]s, urinary crystals of [[calcium oxalate]], [[uric acid]], or [[cystine]], [[hypercalciuria]], urinary pH > 7 in [[Struvite|struvite stones]] (''[[Proteus]]'', ''[[Pseudomonas]]'', ''[[Klebsiella]]''), urinary pH < 5 in [[uric acid]] stones | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Bicarbonate|HCO3]], [[renal tubular acidosis]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |All types of stones are visible, [[hydronephrosis]], [[abdominal aortic aneurysm]], [[cholelithiasis]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Calcium]] - containing stones, [[uric acid]] or [[cystine]] stones, stone movement | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Stone density, size and composition, [[hydronephrosis]], nephromegaly, perinephric fat streaking | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |NA | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Intravenous pyelogram|Intravenous pyelography (IVP)]], [[Tomography|renal tomography]], nuclear renal scan | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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|- | |- | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Etiology | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/ | |||
Lethargy | |||
! | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/Lethargy | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/Confusion | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/ | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/cramp | Confusion | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/visceral pain | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/ | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | cramp | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/ | ||
visceral pain | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Blood indices | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Renal Funtion test | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Electrolytes | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Urine analysis | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |ABG | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Ultrasound | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |X-ray | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |CT | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |MRI | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Comments | |||
! | |||
|- | |- | ||
|} | |} | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Medicine]] | |||
[[Category:Infectious disease]] | |||
[[Category:Nephrology]] | [[Category:Nephrology]] | ||
[[Category: | [[Category:Urology]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
Latest revision as of 22:59, 29 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2], Eiman Ghaffarpasand, M.D. [3], Anmol Pitliya, M.B.B.S. M.D.[4]
Overview
There are several life-threatening causes of oliguria which is needed to be evaluated, which include sepsis, urethral stricture, dehydration, and shock. The other possible causes of oliguria can be evaluated by carefully assessing the nature of the symptoms, and obtaining a thorough patient history.
Oliguria Differential Diagnosis
The following table outlines the major differential diagnoses of oliguria:
To review the differential diagnosis of oliguria with thirst, click here.
To review the differential diagnosis of oliguria with muscle weakness, click here.
To review the differential diagnosis of oliguria with somatic pain, click here.
To review the differential diagnosis of oliguria with vomiting, click here.
To review the differential diagnosis of oliguria with diarrhea, click here.
To review the differential diagnosis of oliguria with tachypnea, click here.
To review the differential diagnosis of oliguria with edema, click here.
To review the differential diagnosis of oliguria with fatigue and thirst, click here.
To review the differential diagnosis of oliguria with fatigue and tachypnea, click here.
To review the differential diagnosis of oliguria with fatigue and edema, click here.
To review the differential diagnosis of oliguria with fatigue, vomiting, and diarrhea, click here.
To review the differential diagnosis of oliguria with fatigue, somatic pain, vomiting, and diarrhea, click here.
To review the differential diagnosis of oliguria with fatigue, somatic pain, vomiting, diarrhea, and edema click here.
Abbreviations: ABG = Arterial blood gases, BUN = Blood urea nitrogen, CBC = Complete blood count, CT = Computed tomography, CRP = C - reactive protein, ECG = Electrocardiogram, ESR = Erythrocyte sedimentation rate, IVP = Intravenous pyelography, KFT = Kidney function test, GI = Gastrointestinal, GFR = Glomerular filtration rate, MRI = Magnetic resonance imaging, PT = Prothrombin time
Etiology | Clinical manifestations | Paraclinical findings | Comments | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms and signs | Lab findings | Imaging | ||||||||||||||||||||
Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | |||
Prerenal causes | Alcohol poisoning[1][2] | + | - | +/- | - | +/- | + | +/- | - | - | ↑PT | ↑BUN, ↑Cr (isopropyl alcohol) | ↓Na | NA | ↓HCO3 | LFT | NA | NA | NA | NA | - | Administer thiamine to prevent Wernicke's encephalopathy |
Aspergillosis[3][4] | +/- | - | - | - | - | - | - | +/- | - | NA | NA | NA | NA | NA | Allergy test, ↑IgE (>1000 IU/dl), direct visualization of fungal hyphae | NA | Pulmonary infiltrates, mucus plug, mass in the upper lobe surrounded by a crescent of air, solitary or multiple cavities | Halo sign, wedge-shaped pulmonary infarction, granuloma | NA | - | Polymerase chain reaction (PCR) confirms the diagnosis | |
Cholera[5][6][6][7] | +/- | + | +/-
Depends on severity |
- | - | +/- | + | - | - | Leukocytosis, ↑HCT | ↑BUN, ↑Cr | ↓Na, ↑Ca, ↑Mg | NA | ↑Lactate, ↓HCO3 | Stool PCR, stool culture, serotyping | NA | NA | NA | NA | - | - | |
Congestive heart failure (CHF)[8][9] | + | - | - | - | - | - | + | - | + | Anemia, leukocytosis | ↑BUN, ↑Cr | ↓Na, ↑K | NA | ↑Lactate, ↓HCO3, | ↑BNP, ↑troponin | Cardiomegaly, pulmonary hypertension, pleural effusion | Pulmonary edema | NA | Valvular heart disease | Decreased ejection fraction in echocardiography, decreased heart function and damage in nuclear imaging | - | |
Dehydration[10][11] | + | + | +/-
Depends on the severity |
+/- | - | +/- | +/- | - | - | NA | ↑BUN, ↑Cr | ↓Na, ↑K, ↓Cl | ↑ Urine ketones and glucose, ↑urine specific gravity | ↑Lactate, ↓HCO3 | Hypoglycemia | NA | NA | NA | NA | - | - | |
Diarrhea and/or vomiting[12][13] | +/- | +/- | - | - | - | + | + | - | - | Leukocytosis with predominant neutrophilia, ↑ESR | NA | NA | ↑ Urine ketones, organic acids, porphobilinogen, aminolevulinic acid | NA | Stool anion gap, stool pH < 5.5, stool culture, serotyping, enzyme immunoassay (rotavirus or adenovirus), abnormal LFT, amylase, lipase | Normal | NA | NA | NA | - | - | |
Etiology | Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | Comments | |
Drugs/toxins[14][15] | +/- | +/- | +/- | +/- | +/- | +/- | +/- | +/- | +/- | NA | ↑BUN, ↑Cr, ↑CK | ↑K, ↓Mg, ↓Ca, ↓P | Ingested drug, glucose, aminoacid, phosphate, ketone, hyaline cast, and RBC | ↑Lactate, metabolic acidosis | Toxicology, rapid immunoassay | Nephropathy | Radioopaque substances, ingested drug packets | NA | NA | - | - | |
Esophageal varices bleeding[16][17] | +/- | - | - | - | +/- | - | - | - | - | Normocytic normochromic anemia | ↑BUN, ↑Cr | NA | NA | NA | NA | Velocity and direction of portal flow | Abnormal opacities outside ofesophageal wall, posterior mediastinal or intraparenchymal mass, dilated azygous vein | Entire portal venous system | Portrays esophageal varices as flow voids | Portal hypertension and esophageal varices in positron emission tomography, flexible endoscope, barium swallow of snake-like filling defects | - | |
Congenital heart disease[18][19] | +/- | - | - | - | - | - | - | +/- | +/- | ↑ESR and CRP | ↑BUN, ↑Cr | NA | NA | NA | Throat culture, rapid streptococcal antigen test, hyperoxia test, pulse oximetry | NA | Cardiomegaly, dextrocardia | NA | NA | Ventricular dysfunction, left and right ventricular hypertrophy, valvular disease in echocardiography | - | |
Hemorrhage[20][21] | - | + | +/-
Depends on the severity |
- | - | - | - | +/- | - | Normocytic normochromic anemia, ↑PT, ↑PTT | ↑BUN, ↑Cr | ↑Na, ↑Cl, ↓Ca | NA | Metabolic acidosis | NA | Peritoneal cavity fluid in FAST | Bilateral opacities in the lung field, hemothorax, hemoperitoneum, ruptured abdominal aortic aneurysm | Intrathoracic, intra-abdominal, and retroperitoneal bleeding | NA | Source of bleeding in the upper GI in EGD, angiography | - | |
Hemolysis[22][23] | +/- | - | - | - | - | - | - | +/- | - | Thrombocytopenia, microcytic hypochromic anemia, ↑RDW, ↑retic count | NA | NA | NA | NA | ↑LDH, ↓haptoglobin, ↑unconjugated bilirubin | Hepatomegaly, splenomegaly | NA | NA | NA | - | - | |
Etiology | Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | Comments | |
Hepatorenal syndrome[24][25] | +/- | - | - | - | +/- | +/- | - | - | +/- | Leukocytosis, ↑PT | ↓GFR, ↑BUN, ↑Cr | ↓Na | Proteinuria, Na <10mEq/L, urine osmolality > plasma osmolality | NA | Alpha feto-protein, cryoglobulinemia | Exclude hydronephrosis and intrinsic renal disease | NA | NA | NA | Right ventricular preload, ventricular filling pressures, and cardiac function in echocardiography | - | |
Ischemic cardiomyopathy[26][27] | +/- | - | - | - | - | - | - | +/- | +/- | Anemia | ↑Cr | ↓Na, ↓K, ↓Mg | NA | NA | Troponin, creatine kinase, Creatine kinase-MB, BNP | NA | Abnormal cardiac silhouette | Biventricular volume, wall motion abnormality, myocardial perfusion, hypertrophic cardiomyopathy | Mid-wall fibrosis in MRI | Ejection fraction ≤35%, pulmonary embolism, right ventricular dilation or pericardial effusion with tamponade in echocardiography | - | |
Liver cirrhosis[28][29] | +/- | - | +/- | +/- | +/- | - | - | - | +/- | NA | NA | NA | NA | NA | Abnormal LFT, aspartate aminotransferase to platelet ratio, FibroTest/FibroSure, Hepascore | Portal blood flow velocity, hepatic artery enlargement, multifocal lesions or masses, hepatic contour, ascites, splenomegaly | Bowel perforation, gynecomastia, azygos vein enlargement, pleural effusion | Morphologic changes in the liver, collaterals and shunts, hyperattenuating nodule of hepatocellular carcinoma, portal vein thrombosis | Vacular patency, tumor invasion, portal vein thrombosis, steatosis | Hepatic function and portal hypertension in nuclear imaging, hepatic perfusion and the development of shunts and tumors in angiography | Irreversible and a transplant is usually needed | |
Malignant hypertension[30][31] | +/- | - | + | - | - | +/- | - | +/- | +/- | Microangiopathic hemolytic anemia | ↑BUN, ↑Cr | ↑Na, ↑K, ↑P | Proteinuria, microscopic hematuria | Acidosis | Cardiac enzymes, urinary catecholamines, TSH, ↑Renin | NA | Cardiomegaly, pulmonary edema, rib notching, aortic coarctation, mediastinal widening, aortic dissection | NA | NA | Left atrial enlargement and left ventricular hypertrophy in echocardiography | - | |
Etiology | Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | Comments | |
Myocarditis[32] | +/- | - | - | - | +/- | - | - | +/- | - | Leukocytosis (eosinophilia),↑ESR and ↑CRP | NA | NA | NA | NA | Cardiac enzymes, viral antibodies | NA | NA | NA | Inflammatory edema, degree of scarring | Endomyocardial biopsy, echocardiography, scintigraphy | NA | |
Peritonitis[33][34] | +/- | - | +/- | - | +/- | +/- | +/- | - | - | Leukocytosis | NA | NA | NA | NA | Ascitic fluid neutrophil count > 500 cells/µL | NA | NA | NA | NA | - | - | |
Polycythemia[35][36] | +/- | - | - | - | - | - | - | +/- | - | ↑RBC, ↑HCT, ↑HGB, thrombocytosis, leukocytosis, ↑PT, and ↑aPTT | ↓Erythropoietin | NA | NA | NA | Hyperuricemia | Splenomegaly | NA | NA | NA | - | Phlebotomy is the usual treatment | |
Respiratory distress syndrome[37] | + | - | +/- | - | - | - | - | + | - | NA | NA | NA | NA | Metabolic and respiratory acidosis | Pulse oximetry | NA | Bilateral, diffuse, reticular granular or ground-glass appearance +/- cardiomegaly | NA | NA | Patent ductus arteriosus in echocardiography | - | |
Shock[38] | +/- | +/- | +/- | +/- | +/- | +/- | - | +/- | - | ↑HCT, ↑PT and aPTT, Eosinophilia, Leukocytosis | ↓GFR, ↑BUN, ↑Cr | NA | NA | ↑Lactate | LFT, ↑BNP, ↑troponin, D-dimer, fibrinogen | Pulmonary embolism, pericardial effusion, cardiac tamponade, pneumothorax, thoracic or abdominal aortic aneurysm in RUSH (Rapid Ultrasound for Shock and Hypotension) | Pneumonia, pneumothorax, pulmonary edema, widened mediastinum, free air under the diaphragm | Traumatic brain injury, stroke, spinal injury, pneumonia, pPneumothorax, ruptured aneurysm, aortic dissection, pulmonary embolism | NA | - | - | |
Toxic megacolon[39] | +/- | +/- | +/- | - | + | + | +/- | - | - | Leukocytosis, anemia, ↑ESR and ↑CRP | ↑BUN, ↑Cr | ↓Na | NA | NA | Loss of haustra, hypoechoic and thick bowel walls, dilated colon > 6cm, dilatation of ileal loops | Dilated colon, free intraperitoneal air | Bowel perforation, abscess | NA | NA | Endoscopy and colonoscopy | - | |
Etiology | Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | Comments | |
Renal causes | Acute interstitial nephritis[40][41] | +/- | - | +/- | - | +/- | +/- | +/- | +/- | +/- | Eosinophilia | ↑BUN, ↑Cr, ↑FENa | NA | Eosinophiluria, sterile pyuria, mMicroscopic hematuria, proteinuria | NA | ↑Total IgG, ↑IgG4 | Normal-sized kidneys | NA | NA | NA | - | History of long term analgesic use |
Acute tubular necrosis[42][43] | +/- | - | - | - | - | +/- | - | - | +/- | Anemia | ↑BUN, ↑Cr, ↑FENa | ↓Na, ↑K, ↑Mg, ↑P, ↓Ca | Pigmented, muddy brown, granular casts | NA | NA | Obstructive uropathy, cortical thickness, hydronephrosis | Nephrolithiasis | Nephrolithiasis, area of obstruction | Nephrolithiasis, area of obstruction | Loss of tubular cells or the denuded tubules, swollen tubular cells, lLoss of the cell brush border in renal biopsy | Furosemide stress testing for staging | |
Cancer[44][45] | + | - | - | - | +/- | +/- | - | - | +/- | Normocytic or microcytic anemia, leukocytosis or lymphocytosis, ↑reticulocytes, thrombocytopenia | ↓GFR, ↑BUN, ↑Cr, ↓Erythropoietin | ↓Na, ↑K, ↓Mg, ↑P, ↓Ca | Gross hematuria | NA | LFT | Fluid collection and morphological change, flank mass | Calcification and widened mediastinum, filling defects in barium contrast | Metastasis and staging, cystic and solid masses, lymph node, renal vein, and inferior vena cava involvement | Soft tissue invasion and staging | Malignant cystic lesions percutaneous cyst puncture | Renal cell carcinoma types: Clear cell (75%), chromophilic (15%), chromophobic (5%), oncocytoma (3%), collecting duct (2%) | |
Congenital kidney disease[46][47][48]
- Agenesis |
+/- | - | - | - | +/- | +/- | - | - | +/- | ↑HCT | ↓GFR | ↓P, ↓Ca | Microalbuminuria, uricosuria | NA | Genetic testing forADPKD2 | Visualization of kidney cysts | Small kidney cysts (0.5 cm) | Kidney size, intracranial aneurysms | NA | - | - | |
End stage renal disease[49][50] | + | - | - | - | +/- | - | - | - | + | Anemia | ↓GFR, ↑BUN, ↑Cr | ↑K | Hypoalbuminuria | ↓HCO3 | Phosphate, 25-hydroxy vitamin D, alkaline phosphatase, parathyroid hormone | Hydronephrosis, retroperitoneal fibrosis, enlarged or shrunken kidneys | Obstruction in retrograde pyelogram | Renal masses, stones, and cysts | Renal vein thrombosis, renal artery stenosis in magnetic resonance angiography | Percutaneous renal biopsy | - | |
Etiology | Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | Comments | |
Endogenous toxins[51][52][53][54][55] | +/- | - | +/- | + | - | +/- | - | - | +/- | Anemia, thrombocytopenia | ↓GFR, ↑BUN, ↑Cr | ↑K, ↑urate, ↓Ca | Uricosuria, hematuria, myoglobinuria, casts | NA | Creatine kinase > 1000 U/L | Malignant or cystic lesions, hydronephrosis, nephrocalcinosis, urolithiasis | NA | Urolithiasis, wilms tumor, polycystic kidney disease | NA | Ureter or bladder abnormality in voiding cystourethrography | - | |
Glomerulonephritis[56][57][58] | +/- | - | - | - | - | - | - | - | + | Pleocytosis, anemia, leukocytosis, ↑ESR | ↑BUN, ↑Cr | NA | Specific gravity > 1.020, proteinuria, hematuria, red blood cell casts, white blood cell casts, cellular casts, oval fat bodies | NA | NA | ↑C3, ↑C4, ↑CH50, blood and tissue culture, antinuclear antibodies, cryoglobulins, hepatitis B and C serologies, antineutrophil cytoplasmic antibody (ANCA) | Kidney size, echogenicity of the renal cortex, obstruction, degree of fibrosis | Pulmonary congestion | Visceral abscesses | - | Renal biopsy, light and electron microscopy, immunofluorescence aid diagnosis | |
Goodpasture syndrome[59][60][61] | +/- | - | - | - | - | - | - | +/- | +/- | Anemia, leukocytosis, ↑ESR | ↑BUN, ↑Cr | NA | Low-grade proteinuria, gross or microscopic hematuria, RBC casts | NA | Anti– glomerular basement membrane antibody, antineutrophilic cytoplasmic antibody | NA | Bilateral, basal, patchy parenchymal consolidations | NA | NA | Diffuse alveolar hemorrhage in pulmonary biopsy | - | |
Hemolytic uremic syndrome[62][63][64] | +/- | - | +/- | +/- | +/- | + | + | - | +/- | Severe anemia, thrombocytopenia, ↑aPTT | ↑BUN, ↑Cr | NA | Mild proteinuria, Red blood cells, Red blood cell casts | NA | Schistocytes, ↑FDP and D-dimer, ↑bilirubin, ↑LDH, ↓haptoglobin, stool culture (for E coli 0157:H7 or shigella), ↓ADAMTS-13 activity | Ruling out obstruction | NA | NA | NA | Diffuse thickening of the glomerular capillary wall, swelling of endothelial cells, fibrin thrombi in renal biopsy | - | |
Nephrolithiasis[65][66][67] | - | - | - | - | +/- | +/- | - | - | - | Mild leukocytosis, ↑CRP | ↑BUN, ↑Cr | ↑Na, ↑K, ↑P, ↑Ca, ↑urate | Gross or microscopic hematuria, Red blood cells, urinary crystals of calcium oxalate, uric acid, or cystine, hypercalciuria, urinary pH > 7 in struvite stones (Proteus, Pseudomonas, Klebsiella), urinary pH < 5 in uric acid stones | ↓HCO3, renal tubular acidosis | - | All types of stones are visible, hydronephrosis, abdominal aortic aneurysm, cholelithiasis | Calcium - containing stones, uric acid or cystine stones, stone movement | Stone density, size and composition, hydronephrosis, nephromegaly, perinephric fat streaking | NA | Intravenous pyelography (IVP), renal tomography, nuclear renal scan | - | |
Etiology | Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | Comments |
References
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- ↑ Such J, Runyon BA (October 1998). "Spontaneous bacterial peritonitis". Clin. Infect. Dis. 27 (4): 669–74, quiz 675–6. PMID 9798013.
- ↑ Runyon BA (October 1990). "Monomicrobial nonneutrocytic bacterascites: a variant of spontaneous bacterial peritonitis". Hepatology. 12 (4 Pt 1): 710–5. PMID 2210672.
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- ↑ Kralovics R, Indrak K, Stopka T, Berman BW, Prchal JF, Prchal JT (September 1997). "Two new EPO receptor mutations: truncated EPO receptors are most frequently associated with primary familial and congenital polycythemias". Blood. 90 (5): 2057–61. PMID 9292543.
- ↑ Hooper SB, Te Pas AB, Kitchen MJ (May 2016). "Respiratory transition in the newborn: a three-phase process". Arch. Dis. Child. Fetal Neonatal Ed. 101 (3): F266–71. doi:10.1136/archdischild-2013-305704. PMID 26542877.
- ↑ Vincent JL, De Backer D (October 2013). "Circulatory shock". N. Engl. J. Med. 369 (18): 1726–34. doi:10.1056/NEJMra1208943. PMID 24171518.
- ↑ Jalan KN, Sircus W, Card WI, Falconer CW, Bruce CB, Crean GP, McManus JP, Small WP, Smith AN (July 1969). "An experience of ulcerative colitis. I. Toxic dilation in 55 cases". Gastroenterology. 57 (1): 68–82. PMID 5305933.
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