Acute oliguria (excretion of less than 400 ml of urine per day)is often the earliest sign of impaired renal function and posesa diagnostic and management challenge to the clinician. Earlyidentification of potentially reversible causes of acute oliguriaand institution of appropriate therapy are crucial, since thetherapeutic window is often small.1 Oliguria can have many causes.Some are overt and apparent, such as septic shock, whereas othersare concealed and subtle, such as myoglobulin release or drugtoxicity.2 The main functional derangement in patients withacute oliguria is a sudden and severe decrease in the glomerularfiltration . . . [Full Text of this Article]
Causes of Acute Oliguria
Urinary Sediment and Indexes
Prevention of Intrinsic Acute Renal Failure
Complications of Acute Oliguria
Management of Oliguria
Dialysis
Protein and Energy Intake
Future Directions
Source Information
From the Renal Division, Department of Medicine, Washington University School of Medicine, St. Louis.
Address reprint requests to Dr. Klahr at the Department of Medicine, BarnesJewish Hospital, North Campus, 216 S. Kingshighway, St. Louis, MO 63110.
References
Related Letters:
Acute Oliguria
Goodkin D. A., Narins R. G., Merin R. G., Dalton R.G., Pope J., Klahr S., Miller S. B.
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Full Text
N Engl J Med 1998;
339:201-202, Jul 16, 1998.
Correspondence
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