1.Acute renal failure without oliguria.
Journal of Practical Medicine 2002;435(11):13-15
Participants in this study were patients with acute renal failure who admitted ViÖt §øc Hospital. It is found that acute nonoliguric renal failure developed in 30% of the patients. It was diagnosed by blood creatinine level as 20 mg/L or 180 micromol/L and renal failure indices RFI 2 and FeNa2. Progress and prognosis of this condition were favorable. Most of patients responded with furosemide. Only a few patients need additional hemodialysis.
Kidney Failure, Acute
;
Oliguria
2.14 year old male with oliguria and respiratory distress- What is your diagnosis?
James Robertson C. Pichel ; Dolores D. Bonzon ; Francisco E. Anacleto Jr.
Pediatric Infectious Disease Society of the Philippines Journal 2013;14(1):49-52
A 14 year old male from Quezon City Manila was admitted due to oliguria. He presented with 7 days of intermittent fever associated with malaise, photophobia with redness of the eyes. A few hours before admission, he developed repetitive vomiting with decreased urine output. He denied any muscle pain, change in his sensorium or seizure episode. He had a history of wading in flooded waters.
Oliguria
;
Fever
;
Photophobia
3.Matrix Stone.
Woo Chul MOON ; Tai Young AHN ; Jong Keun YOO ; Chong wook LEE
Korean Journal of Urology 1983;24(5):926-930
We report on a patient with matrix stone. The presenting symptoms were right flank pain and oliguria. The patient was in severe uremic condition secondary to the obstruction of the solitary kidney. A definite diagnosis was made by an exploration. However the surgical removal of stones resulted in only temporary improvement due to residual and recurrent stones. The literature is discussed.
Diagnosis
;
Flank Pain
;
Humans
;
Kidney
;
Oliguria
4.No.139: recurrent fever and splenomegaly for 9 months, oliguresis for 3 days.
Shuo LI ; Xintian LU ; Ying HUA
Chinese Journal of Pediatrics 2015;53(11):867-869
Fever
;
Humans
;
Oliguria
;
diagnosis
;
Recurrence
;
Splenomegaly
;
diagnosis
5.A Study for Causes of Oliguria in Early Stages of Anesthesia.
Korean Journal of Anesthesiology 1999;37(6):1027-1033
BACKGROUND: An ominous sign is the oliguria frequently observed during an anesthesia. In order to elucidate the causes of oliguria during early stages of anesthesia, we observed renin, aldosterone, antidiuretic hormone (ADH), creatinine clearance (Ccr), fractional excretion of sodium (FeNa) and free water clearance (CH2O) before and 1 hour after anesthesia. METHODS: Twenty-four patients (ASA physical status I II) 20 to 60 years of age scheduled for elective surgery of low risk were anesthetized with N2O/O2/enflurane. According to the urine volume, we divided the patients into two groups (oliguria group and control group). The criteria for the oliguria group was urine volume less than 0.25 ml/kg during the first 30 minutes. Eleven patients were allocated to the oliguria group. Blood samples for sodium, creatinine, osmolality, renin, aldosterone, ADH and urine samples for sodium, creatinine and osmolality were collected before anesthesia and 1 hour after anesthesia. Ccr, FeNa and CH2O were calculated with equations. RESULTS: Before anesthesia, urine sodium (mEq/L), creatinine (mg/dl) and osmolality (mOsm/kgH2O) were significantly higher in the oliguria group than in the control group (153.4+/-15.8 vs 107.2+/-14.9, 75.5+/-10.9 vs 48.2+/-8.7, 543.7+/-27.5 vs 380.1+/-49.1, P< 0.05). Before anesthesia, ADH (pg/ml) was significantly higher in the oliguria group than in the control group (9.4+/- 3.6 vs 1.9+/-0.5, P< 0.05). One hour after anesthesia, urine sodium, creatinine and osmolality were significantly higher in the oliguria group than in the control group (170.1+/-14.6 vs 46.7+/-6.5, 71.1+/-6.9 vs 15.0+/-2.5, 557.5+/-27.5 vs 176.9+/-17.9, P< 0.05). CH2O (ml/hr) was significantly lower in the oliguria group than in the control group (-46.4+/-7.5 vs 112.5+/-23.9, P< 0.05). CONCLUSIONS: Our results suggest that the main cause of oliguria is dehydration during the early stages of anesthesia, so before anesthesia, appropriate hydration with free water is necessary to avoid oliguria.
Aldosterone
;
Anesthesia*
;
Creatinine
;
Dehydration
;
Humans
;
Oliguria*
;
Osmolar Concentration
;
Renin
;
Sodium
;
Water
6.The Role of Oliguria and the Absence of Fluid Administration and Balance Information in Illness Severity Scores.
Neil J GLASSFORD ; Rinaldo BELLOMO
Korean Journal of Critical Care Medicine 2017;32(2):106-123
Urinary examination has formed part of patient assessment since the earliest days of medicine. Current definitions of oliguria are essentially arbitrary, but duration and intensity of oliguria have been associated with an increased risk of mortality, and this risk is not completely attributable to the development of concomitant acute kidney injury (AKI) as defined by changes in serum creatinine concentration. The increased risk of death associated with the development of AKI itself may be modified by directly or indirectly by progressive fluid accumulation, due to reduced elimination and increased fluid administration. None of the currently extant major illness severity scoring systems or outcome prediction models use modern definitions of AKI or oliguria, or any values representative of fluid volumes variables. Even if a direct relationship with mortality is not observed, then it is possible that fluid balance or fluid volume variables mediate the relationship between illness severity and mortality in the renal and respiratory physiological domains. Fluid administration and fluid balance may then be an important, easily modifiable therapeutic target for future investigation. These relationships require exploration in large datasets before being prospectively validated in groups of critically ill patients from differing jurisdictions to improve prognostication and mortality prediction.
Acute Kidney Injury
;
Creatinine
;
Critical Illness
;
Dataset
;
Humans
;
Mortality
;
Oliguria*
;
Prospective Studies
;
Water-Electrolyte Balance
7.Hemolytic transfusion reaction with acute renal failure due to Anti-Jkb: a case study.
Tae Sung PARK ; Hyung Hoi KIM ; Han Chul SON ; Byung Chang KIM
Korean Journal of Blood Transfusion 2002;13(1):89-92
We reported a case of hemolytic transfusion reaction producing acute renal failure due to Anti-Jkb in a 35-year-old man with septic hip in post-operative state. At first, he received 7 units of packed red blood cells one month before admission, 2 units for hematuria 7 days before, and with 2 units just one day before the admission. He complained of symptoms and signs accounting for acute hemolytic transfusion reaction with chilling, hematuria, and oliguria. In this case, it seems that the patient acquired unexpected antibody by the episode of transfusion one month ago. He received another transfusion with similar episode of transfusion reaction. His transfusion was repeated and even more severe hemolytic transfusion reaction was presented, leading to acute renal failure.
Acute Kidney Injury*
;
Adult
;
Blood Group Incompatibility*
;
Erythrocytes
;
Hematuria
;
Hip
;
Humans
;
Oliguria
8.Glyphosate Induced Severe Tubulointerstitial Nephritis Requiring Hemodialysis.
Sun Hong YOO ; Byung Soo KIM ; Hye Yun LEE ; Ja Young LEE ; Jae Ki CHOI ; Young Soo KIM ; Sun Ae YOON ; Yeong Jin CHOI ; Young Ok KIM
Korean Journal of Nephrology 2010;29(1):158-161
This is the first case of glyphosate induced severe tubulointerstitial nephritis requiring hemodialysis without cardiovascular collapse. A 67-year-old man presented to the hospital 30 minutes after ingesting 90 mL of glyphosate herbicide. On arrival, his serum creatinine was 0.8 mg/dL and other laboratory findings including liver, cardiac, and muscle enzymes were all normal. Two days after admission, although his vital signs were stable, his creatinine abruptly increased to 8.2 mg/dL and oliguria developed. As a result, we started hemodialysis treatment and two weeks after initiation of hemodialysis, his renal function started to improve slowly. After discontinuation of hemodialysis, his renal function gradually recovered and serum creatinine level decreased to 1.6 mg/dL three weeks after admission.
Aged
;
Creatinine
;
Glycine
;
Humans
;
Liver
;
Muscles
;
Nephritis, Interstitial
;
Oliguria
;
Renal Dialysis
;
Vital Signs
9.Evaluation of Usefulness of Perioperative Risk Factors Which Affect Early or Delayed Extubation after Liver Transplantation.
Jong Ho CHOI ; Tae Hyun KIM ; Jae min LEE
Korean Journal of Anesthesiology 2003;44(6):847-852
BACKGROUND: Although ventilatory therapy after liver transplantation is essential part of postoperative intensive care, the appropriate time of extubation remains controversial. Thus we constructed an indigenous index to determine the timing of early or delayed extubation. This experiment was undertaken to decide on whether the index adequately serves as a guideline for the time of extubation. METHODS: We divided factors that affect the time of extubation into two categories-preoperative and intraoperative. Using these categories, we examined 68 patients scheduled for liver transplantation. The preoperative categories were Child-Pugh Class, preoperative creatinine level, and preoperative O2/FiO2 ratios. The intraoperative categories included the amount of packed red cell transfused and oliguria after liver reperfusion. We categorized our patients into an early extubation group and delayed extubation group, according to the existence of these factors. Then we compared the variance of duration of mechanical ventilation and duration of ICU stay of the two groups. RESULTS: The duration of mechanical ventilation in the early extubation group was significantly shorter than in the delayed extubation group (P < 0.05). However, there were no significant differences in terms of duration of ICU stay or O2 index. Child-Pugh Class, preoperative hypoxemia, and the intraoperative amount of transfusion factors showed statistical significance (P < 0.05), but preoperative renal function and oliguria after liver reperfusion showed no significant difference between the two groups. CONCLUSIONS: The process of categorizing early and delayed extubation group by examining danger factors can indeed provide an appropriate guideline for respiratory care after liver transplantation by preventing premature or excessive extubation.
Anoxia
;
Creatinine
;
Humans
;
Critical Care
;
Liver Transplantation*
;
Liver*
;
Oliguria
;
Reperfusion
;
Respiration, Artificial
;
Risk Factors*
10.One Case of Crossed Renal Ectopia with Fusion.
Tae Myung KIM ; Taek Sae LEE ; Ki Chang HAN ; Young Hae PARK
Journal of the Korean Pediatric Society 1978;21(12):1159-1162
One of the rarest anomalies of the urinary tract is crossed renal ectopia. In Crossed Renal Ectopia, the kidney may be fused or unfused. The fused type is more common. The Diagnosis is made by a combination of urologic and radiologic technics including intravenous pyelography, Cytoscopic examination, retrograde pyelography and retroperitoneal air insufflation. The treatment of renal ectopia without fusion is that of the complicating disease in a kindney normally placed. This paper presented one care of crossed renal ectopia with fusion in a 5 month old female patient who admitted with high fever, oliguria and a palpable abdominal mass. The literatures were reviewed briefly.
Diagnosis
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Female
;
Fever
;
Humans
;
Infant
;
Insufflation
;
Kidney
;
Oliguria
;
Urinary Tract
;
Urography