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Review Article
Current Concepts
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Volume 338:671-675 March 5, 1998 Number 10
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Acute Oliguria
Saulo Klahr, M.D., and Steven B. Miller, M.D.

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Acute oliguria (excretion of less than 400 ml of urine per day) is often the earliest sign of impaired renal function and poses a diagnostic and management challenge to the clinician. Early identification of potentially reversible causes of acute oliguria and institution of appropriate therapy are crucial, since the therapeutic window is often small.1 Oliguria can have many causes. Some are overt and apparent, such as septic shock, whereas others are concealed and subtle, such as myoglobulin release or drug toxicity.2 The main functional derangement in patients with acute oliguria is a sudden and severe decrease in the glomerular filtration . . . [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, Barnes–Jewish 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.
Extract | Full Text  
N Engl J Med 1998; 339:201-202, Jul 16, 1998. Correspondence

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