SlideShare a Scribd company logo
1 of 41
Differential Diagnosis of Acute Renal Failure 臺灣大學附設醫院外科 4B 加護病房實習報告   報告者 :  李浩遠  (Intern,  學號 :  B8601076)  臺北醫學大學醫學系七年級
Definition  ,[object Object]
Prerenal Disease   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prerenal Disease   ,[object Object],[object Object],[object Object]
Prerenal Azotemia Caused by True Volume Depletion   ,[object Object],[object Object],[object Object]
Prerenal Azotemia Caused by Advanced Liver Disease  ,[object Object],[object Object],[object Object],[object Object]
Prerenal Azotemia Caused by Congestive Heart Failure  ,[object Object],[object Object],[object Object]
Prerenal Azotemia Caused by  Renal arterial disease   ,[object Object]
Prerenal ARF of Newborns and Infants ,[object Object],[object Object],[object Object],[object Object]
Prerenal ARF of Newborns and Infants ,[object Object]
Prerenal ARF of  Children   ,[object Object],[object Object],[object Object],[object Object]
Symptoms and Signs of  Prerenal Failure  ,[object Object],[object Object]
Symptoms and Signs of  Prerenal Failure   ,[object Object]
Intrinsic Renal Failure   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intrinsic Renal Failure   ,[object Object]
Intrinsic Renal Failure   ,[object Object]
Intrinsic Renal Failure   ,[object Object],[object Object]
Intrinsic Renal Failure   ,[object Object]
Intrinsic Renal Failure   ,[object Object]
Acute Tubular Necrosis  ,[object Object],[object Object],[object Object],[object Object]
Acute Tubular Necrosis  ,[object Object],[object Object],[object Object]
Acute Tubular Necrosis  ,[object Object],[object Object],[object Object]
Acute Tubular Necrosis  ,[object Object],[object Object],[object Object]
Major Causes of Acute Tubular Necrosis  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intrinsic ARF of Children  ,[object Object],[object Object]
Post-renal ARF ,[object Object],[object Object],[object Object]
Post-renal ARF ,[object Object]
FeNa ,[object Object],[object Object],[object Object],[object Object]
FeNa ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Urine output  (>400 mL/d)  Acute interstitial nephritis, acute glomerulonephritis, partial obstructive nephropathy, nephrotoxic and ischemic ATN, radiocontrast-induced ARF, and rhabdomyolysis ,[object Object],(100-400 mL/d) Prerenal failure, hepatorenal syndrome ,[object Object],Urinary tract obstruction, renal artery obstruction, rapidly progressive glomerulonephritis, bilateral diffuse renal cortical necrosis ,[object Object]
Urinalysis   Acute interstitial nephritis, pyelonephritis   WBC casts   Glomerulonephritis, malignant HTN   RBC casts   ATN, glomerulonephritis, interstitial nephritis Granular casts
Urinalysis   prerenal and postrenal failure, HUS/thrombotic thrombocytopenic purpura (TTP), preglomerular vasculitis, or atheroembolism Normal  Acyclovir, sulfonamides, methotrexate, ethylene glycol toxicity, radiocontrast agents   Crystall-uria   Acute allergic interstitial nephritis, atheroembolism Eosino-philuria
Complete blood count   multiple myeloma   Anemia and rouleaux formation  SLE or TTP   Leukopenia and thrombocytopenia   common in ARF   Leukocytosis
Complete blood count   liver disease or hepatorenal syndrome. Coagulation disturbances  allergic interstitial nephritis, polyarteritis nodosa, or atheroemboli  Eosinophilia  TTP or atheroemboli  Microangiopathic anemia
Blood chemistry  common complication of ARF   Hypocalcemia (moderate)  Hyperkalemia  rapidly progressive liver failure and hepatorenal syndrome  Elevations in liver transaminases  rhabdomyolysis and myocardial infarction  Creatine phosphokinase (CPK) elevations
Urine indices  <20   >40   Urine/plasma creatinine ratio   <10-15   >20   Plasma BUN/creatinine ratio   >40   <15-20   Urine sodium (mEq/L)   <500   >500   Urine osmolality (mOsm/kg H 2 O)   <1.012   >1.018   Urine specific gravity ATN  prerenal ARF
Laboratory Findings in the Differential Diagnosis of Acute Renal Failure:
Laboratory Findings in the Differential Diagnosis of Acute Renal Failure:
References  Akposso K, Hertig A, Couprie R, et al: Acute renal failure in patients over 80 years old: 25-years' experience [In Process Citation]. Intensive Care Med 2000 Apr; 26(4): 400-6   3 Druml W: Prognosis of Acute Renal Failure. Nephron 1996; 53: 8-15   4 Klahr S, Miller SB: Acute oliguria. N Engl J Med 1998 Mar 5; 338(10): 671-5   2 Liano F, Pascual J: Epidemiology of acute renal failure: a prospective, multicenter, community-based study. Madrid Acute Renal Failure Study Group. Kidney Int 1996 Sep; 50(3): 811-8   1
References  Ragaller MJ, Theilen H, Koch T: Volume replacement in critically ill patients with acute renal failure. J Am Soc Nephrol 2001 Feb; 12 Suppl 17: S33-9   6 Moghal NE, Brocklebank JT, Meadow SR: A review of acute renal failure in children: incidence, etiology and outcome. Clin Nephrol 1998 Feb; 49(2): 91-5   5
References  Renal Failure, Acute September 17, 2002   eMedicine.com, Inc.  8 San A, Selcuk Y, Tonbul Z, Soypacaci Z: Etiology and prognosis in 438 patients with acute renal failure. Ren Fail 1996 Jul; 18(4): 593-9   7

More Related Content

What's hot

What's hot (20)

Acute renal failure (2)
Acute renal failure (2)Acute renal failure (2)
Acute renal failure (2)
 
Acute kidney injury
Acute kidney injuryAcute kidney injury
Acute kidney injury
 
Cirrhosis of liver
Cirrhosis of liverCirrhosis of liver
Cirrhosis of liver
 
Acute kidney injury
Acute kidney injuryAcute kidney injury
Acute kidney injury
 
Acute Kidney Injury
Acute Kidney InjuryAcute Kidney Injury
Acute Kidney Injury
 
Acute kidney injury
Acute kidney injury Acute kidney injury
Acute kidney injury
 
Acute kidney injury
Acute kidney injury Acute kidney injury
Acute kidney injury
 
Approach to CKD
Approach to CKDApproach to CKD
Approach to CKD
 
Chronic Kidney Disease
Chronic Kidney DiseaseChronic Kidney Disease
Chronic Kidney Disease
 
Hypokalemia
HypokalemiaHypokalemia
Hypokalemia
 
Acute kidney injury defnition, causes,
Acute kidney injury   defnition, causes,Acute kidney injury   defnition, causes,
Acute kidney injury defnition, causes,
 
Acute and chronic renal failure
Acute and chronic renal failureAcute and chronic renal failure
Acute and chronic renal failure
 
Acute Kidney Injury (for Undergraduates)
Acute Kidney Injury (for Undergraduates)Acute Kidney Injury (for Undergraduates)
Acute Kidney Injury (for Undergraduates)
 
Acute kidney Injury
Acute kidney InjuryAcute kidney Injury
Acute kidney Injury
 
Hepatorenal syndrome
Hepatorenal syndromeHepatorenal syndrome
Hepatorenal syndrome
 
Chronic Kidney Injury
Chronic Kidney InjuryChronic Kidney Injury
Chronic Kidney Injury
 
Renal failure
Renal failureRenal failure
Renal failure
 
Hypertension and kidney
Hypertension and kidneyHypertension and kidney
Hypertension and kidney
 
Management of ckd
Management of ckdManagement of ckd
Management of ckd
 
Anemia in ckd patients
Anemia in ckd patientsAnemia in ckd patients
Anemia in ckd patients
 

Viewers also liked

Acute Renal Failure Overview
Acute Renal Failure OverviewAcute Renal Failure Overview
Acute Renal Failure OverviewTDFG7
 
Acute renal failure (arf)
Acute renal failure (arf)Acute renal failure (arf)
Acute renal failure (arf)Mohit Aggarwal
 
08 Al Ghonaim Approach To Acute Renal Failure
08 Al Ghonaim   Approach To Acute Renal Failure08 Al Ghonaim   Approach To Acute Renal Failure
08 Al Ghonaim Approach To Acute Renal Failureguest2379201
 
25 chen acute renal failure
25 chen   acute renal failure25 chen   acute renal failure
25 chen acute renal failureDang Thanh Tuan
 
Chronic Kidney Disease
Chronic Kidney DiseaseChronic Kidney Disease
Chronic Kidney Diseasebajah423
 
Contrast Induced Nephropathy
Contrast Induced NephropathyContrast Induced Nephropathy
Contrast Induced NephropathyWaleed El-Refaey
 
Contrast induced-Acute Kidney Injury
Contrast induced-Acute Kidney InjuryContrast induced-Acute Kidney Injury
Contrast induced-Acute Kidney Injurysmujeeb11
 
Chronic Kidney Disease Undergradute Case Study- Nutrition and Diet Therapy
Chronic Kidney Disease Undergradute Case Study-  Nutrition and Diet TherapyChronic Kidney Disease Undergradute Case Study-  Nutrition and Diet Therapy
Chronic Kidney Disease Undergradute Case Study- Nutrition and Diet TherapyTimothy Zagada
 
John murtagh’s practice tips 6th ed
John murtagh’s practice tips      6th edJohn murtagh’s practice tips      6th ed
John murtagh’s practice tips 6th edmohamed hassan abbass
 
Luts, retention, anuria
Luts, retention, anuriaLuts, retention, anuria
Luts, retention, anuriakaziomer
 
Acute renal failure
Acute renal failureAcute renal failure
Acute renal failureJijo G John
 

Viewers also liked (20)

Acute Renal Failure Overview
Acute Renal Failure OverviewAcute Renal Failure Overview
Acute Renal Failure Overview
 
Lower Gi
Lower GiLower Gi
Lower Gi
 
Acute kidney injury
Acute kidney injuryAcute kidney injury
Acute kidney injury
 
Acute renal failure (arf)
Acute renal failure (arf)Acute renal failure (arf)
Acute renal failure (arf)
 
Spotlight on indication of dialysis
Spotlight on indication of dialysisSpotlight on indication of dialysis
Spotlight on indication of dialysis
 
08 Al Ghonaim Approach To Acute Renal Failure
08 Al Ghonaim   Approach To Acute Renal Failure08 Al Ghonaim   Approach To Acute Renal Failure
08 Al Ghonaim Approach To Acute Renal Failure
 
25 chen acute renal failure
25 chen   acute renal failure25 chen   acute renal failure
25 chen acute renal failure
 
Chronic Kidney Disease
Chronic Kidney DiseaseChronic Kidney Disease
Chronic Kidney Disease
 
Hyperkalemia
HyperkalemiaHyperkalemia
Hyperkalemia
 
Contrast induced nephropathy
Contrast  induced nephropathyContrast  induced nephropathy
Contrast induced nephropathy
 
Contrast Induced Nephropathy
Contrast Induced NephropathyContrast Induced Nephropathy
Contrast Induced Nephropathy
 
Contrast induced-Acute Kidney Injury
Contrast induced-Acute Kidney InjuryContrast induced-Acute Kidney Injury
Contrast induced-Acute Kidney Injury
 
A Case of Acute Kidney Injury (ARF)
A Case of Acute Kidney Injury (ARF)A Case of Acute Kidney Injury (ARF)
A Case of Acute Kidney Injury (ARF)
 
Chronic Kidney Disease Undergradute Case Study- Nutrition and Diet Therapy
Chronic Kidney Disease Undergradute Case Study-  Nutrition and Diet TherapyChronic Kidney Disease Undergradute Case Study-  Nutrition and Diet Therapy
Chronic Kidney Disease Undergradute Case Study- Nutrition and Diet Therapy
 
John murtagh’s practice tips 6th ed
John murtagh’s practice tips      6th edJohn murtagh’s practice tips      6th ed
John murtagh’s practice tips 6th ed
 
Acute Kidney Injury
Acute Kidney InjuryAcute Kidney Injury
Acute Kidney Injury
 
Renal Failure
Renal FailureRenal Failure
Renal Failure
 
Acute Kidney Injury
Acute Kidney InjuryAcute Kidney Injury
Acute Kidney Injury
 
Luts, retention, anuria
Luts, retention, anuriaLuts, retention, anuria
Luts, retention, anuria
 
Acute renal failure
Acute renal failureAcute renal failure
Acute renal failure
 

Similar to 04 Differential Diagnosis Of Acute Renal Failure

medicine.Acute renal failure.(dr.kawa)
medicine.Acute renal failure.(dr.kawa)medicine.Acute renal failure.(dr.kawa)
medicine.Acute renal failure.(dr.kawa)student
 
08 Al Ghonaim Approach To Acute Renal Failure
08 Al Ghonaim   Approach To Acute Renal Failure08 Al Ghonaim   Approach To Acute Renal Failure
08 Al Ghonaim Approach To Acute Renal FailureDang Thanh Tuan
 
13 Evaluation And Management Of Acute Renal Failure
13 Evaluation And Management Of Acute Renal Failure13 Evaluation And Management Of Acute Renal Failure
13 Evaluation And Management Of Acute Renal FailureDang Thanh Tuan
 
Acute renal failure
Acute renal failureAcute renal failure
Acute renal failureShahab Riaz
 
14 Ri Acute Nonoliguric Renal Failure
14 Ri   Acute Nonoliguric Renal Failure14 Ri   Acute Nonoliguric Renal Failure
14 Ri Acute Nonoliguric Renal FailureDang Thanh Tuan
 
Acute Kidney Injury.ppt
Acute Kidney Injury.pptAcute Kidney Injury.ppt
Acute Kidney Injury.pptElsaiEsb
 
Acute renal failure by Pandian M.
Acute renal failure by Pandian M. Acute renal failure by Pandian M.
Acute renal failure by Pandian M. Pandian M
 
24 radman acute renal failure
24 radman   acute renal failure24 radman   acute renal failure
24 radman acute renal failureDang Thanh Tuan
 
10 Palevsky Acute Renal Failure
10 Palevsky   Acute Renal Failure10 Palevsky   Acute Renal Failure
10 Palevsky Acute Renal FailureDang Thanh Tuan
 
10 Palevsky Acute Renal Failure
10 Palevsky   Acute Renal Failure10 Palevsky   Acute Renal Failure
10 Palevsky Acute Renal Failureguest2379201
 
Acute Kidney Injury in Children
Acute Kidney Injury in ChildrenAcute Kidney Injury in Children
Acute Kidney Injury in ChildrenAmlendra Yadav
 
acute and chronic r f and types of dialysis.
acute and chronic r f and types of dialysis.acute and chronic r f and types of dialysis.
acute and chronic r f and types of dialysis.REHMAN MEDICAL INSTITUTE
 
ACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
ACUTE KIDNEY INJURY / ACUTE RENAL FAILUREACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
ACUTE KIDNEY INJURY / ACUTE RENAL FAILUREDennis Daniel
 
Acute-Renal-Failure-ppt.pptx
Acute-Renal-Failure-ppt.pptxAcute-Renal-Failure-ppt.pptx
Acute-Renal-Failure-ppt.pptxTulsiDhidhi1
 
16 Daeihagh Acute Renal Failure
16 Daeihagh   Acute Renal Failure16 Daeihagh   Acute Renal Failure
16 Daeihagh Acute Renal FailureDang Thanh Tuan
 
akifinal-140719124910-phpapp01-1.pdf
akifinal-140719124910-phpapp01-1.pdfakifinal-140719124910-phpapp01-1.pdf
akifinal-140719124910-phpapp01-1.pdfDereseBishaw
 
Acute kidney injury prevention new microsoft power po.int presentation
Acute kidney injury prevention new microsoft power po.int presentationAcute kidney injury prevention new microsoft power po.int presentation
Acute kidney injury prevention new microsoft power po.int presentationAyman Seddik
 

Similar to 04 Differential Diagnosis Of Acute Renal Failure (20)

Medicine 5th year, 1st lecture (Dr. Kawa Husain)
Medicine 5th year, 1st lecture (Dr. Kawa Husain)Medicine 5th year, 1st lecture (Dr. Kawa Husain)
Medicine 5th year, 1st lecture (Dr. Kawa Husain)
 
medicine.Acute renal failure.(dr.kawa)
medicine.Acute renal failure.(dr.kawa)medicine.Acute renal failure.(dr.kawa)
medicine.Acute renal failure.(dr.kawa)
 
08 Al Ghonaim Approach To Acute Renal Failure
08 Al Ghonaim   Approach To Acute Renal Failure08 Al Ghonaim   Approach To Acute Renal Failure
08 Al Ghonaim Approach To Acute Renal Failure
 
13 Evaluation And Management Of Acute Renal Failure
13 Evaluation And Management Of Acute Renal Failure13 Evaluation And Management Of Acute Renal Failure
13 Evaluation And Management Of Acute Renal Failure
 
Acute renal failure
Acute renal failureAcute renal failure
Acute renal failure
 
14 Ri Acute Nonoliguric Renal Failure
14 Ri   Acute Nonoliguric Renal Failure14 Ri   Acute Nonoliguric Renal Failure
14 Ri Acute Nonoliguric Renal Failure
 
Acute renal failure in icu
Acute renal failure in icuAcute renal failure in icu
Acute renal failure in icu
 
Acute Kidney Injury.ppt
Acute Kidney Injury.pptAcute Kidney Injury.ppt
Acute Kidney Injury.ppt
 
Acute renal failure by Pandian M.
Acute renal failure by Pandian M. Acute renal failure by Pandian M.
Acute renal failure by Pandian M.
 
24 radman acute renal failure
24 radman   acute renal failure24 radman   acute renal failure
24 radman acute renal failure
 
10 Palevsky Acute Renal Failure
10 Palevsky   Acute Renal Failure10 Palevsky   Acute Renal Failure
10 Palevsky Acute Renal Failure
 
10 Palevsky Acute Renal Failure
10 Palevsky   Acute Renal Failure10 Palevsky   Acute Renal Failure
10 Palevsky Acute Renal Failure
 
Acute Kidney Injury in Children
Acute Kidney Injury in ChildrenAcute Kidney Injury in Children
Acute Kidney Injury in Children
 
acute and chronic r f and types of dialysis.
acute and chronic r f and types of dialysis.acute and chronic r f and types of dialysis.
acute and chronic r f and types of dialysis.
 
ACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
ACUTE KIDNEY INJURY / ACUTE RENAL FAILUREACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
ACUTE KIDNEY INJURY / ACUTE RENAL FAILURE
 
Acute-Renal-Failure-ppt.pptx
Acute-Renal-Failure-ppt.pptxAcute-Renal-Failure-ppt.pptx
Acute-Renal-Failure-ppt.pptx
 
Renal failure-ARF & CRF
Renal failure-ARF & CRFRenal failure-ARF & CRF
Renal failure-ARF & CRF
 
16 Daeihagh Acute Renal Failure
16 Daeihagh   Acute Renal Failure16 Daeihagh   Acute Renal Failure
16 Daeihagh Acute Renal Failure
 
akifinal-140719124910-phpapp01-1.pdf
akifinal-140719124910-phpapp01-1.pdfakifinal-140719124910-phpapp01-1.pdf
akifinal-140719124910-phpapp01-1.pdf
 
Acute kidney injury prevention new microsoft power po.int presentation
Acute kidney injury prevention new microsoft power po.int presentationAcute kidney injury prevention new microsoft power po.int presentation
Acute kidney injury prevention new microsoft power po.int presentation
 

More from guest2379201

09 Nouri Acute Renal Failure
09 Nouri   Acute Renal Failure09 Nouri   Acute Renal Failure
09 Nouri Acute Renal Failureguest2379201
 
07 Mato Acute Renal Failure
07 Mato   Acute Renal Failure07 Mato   Acute Renal Failure
07 Mato Acute Renal Failureguest2379201
 
06 Paden Acute Renal Failure
06 Paden   Acute Renal Failure06 Paden   Acute Renal Failure
06 Paden Acute Renal Failureguest2379201
 
05 Goldstein Acute Renal Failure
05 Goldstein   Acute Renal Failure05 Goldstein   Acute Renal Failure
05 Goldstein Acute Renal Failureguest2379201
 
03 Perioperative Renal Failure In Cardiac Surgery
03 Perioperative Renal Failure In Cardiac Surgery03 Perioperative Renal Failure In Cardiac Surgery
03 Perioperative Renal Failure In Cardiac Surgeryguest2379201
 
02 Sperati Prevention And Management Of Acute Renal Failure
02 Sperati   Prevention And Management Of Acute Renal Failure02 Sperati   Prevention And Management Of Acute Renal Failure
02 Sperati Prevention And Management Of Acute Renal Failureguest2379201
 
02 Radhakrishnan Acute Renal Failure Update
02 Radhakrishnan   Acute Renal Failure Update02 Radhakrishnan   Acute Renal Failure Update
02 Radhakrishnan Acute Renal Failure Updateguest2379201
 
01 Graciano Acute Renal Failure In The Intensive Care Unit
01 Graciano   Acute Renal Failure In The Intensive Care Unit01 Graciano   Acute Renal Failure In The Intensive Care Unit
01 Graciano Acute Renal Failure In The Intensive Care Unitguest2379201
 
Respiratory System (2)
Respiratory System (2)Respiratory System (2)
Respiratory System (2)guest2379201
 
Respiratory System
Respiratory SystemRespiratory System
Respiratory Systemguest2379201
 
Respiratory Physiology
Respiratory PhysiologyRespiratory Physiology
Respiratory Physiologyguest2379201
 
Respiratory Disorders
Respiratory DisordersRespiratory Disorders
Respiratory Disordersguest2379201
 
Pulmonary Function Tests Nonotes
Pulmonary Function Tests NonotesPulmonary Function Tests Nonotes
Pulmonary Function Tests Nonotesguest2379201
 
Pulmonary Function Tests
Pulmonary Function TestsPulmonary Function Tests
Pulmonary Function Testsguest2379201
 
Hypercapnia On Cerebral Autoregulation
Hypercapnia On Cerebral AutoregulationHypercapnia On Cerebral Autoregulation
Hypercapnia On Cerebral Autoregulationguest2379201
 
Control%20of%20 Breathing
Control%20of%20 BreathingControl%20of%20 Breathing
Control%20of%20 Breathingguest2379201
 
Control Of Ventilation
Control Of VentilationControl Of Ventilation
Control Of Ventilationguest2379201
 
Control Of Respiratory Function
Control Of Respiratory FunctionControl Of Respiratory Function
Control Of Respiratory Functionguest2379201
 

More from guest2379201 (20)

09 Nouri Acute Renal Failure
09 Nouri   Acute Renal Failure09 Nouri   Acute Renal Failure
09 Nouri Acute Renal Failure
 
07 Mato Acute Renal Failure
07 Mato   Acute Renal Failure07 Mato   Acute Renal Failure
07 Mato Acute Renal Failure
 
06 Paden Acute Renal Failure
06 Paden   Acute Renal Failure06 Paden   Acute Renal Failure
06 Paden Acute Renal Failure
 
05 Goldstein Acute Renal Failure
05 Goldstein   Acute Renal Failure05 Goldstein   Acute Renal Failure
05 Goldstein Acute Renal Failure
 
03 Perioperative Renal Failure In Cardiac Surgery
03 Perioperative Renal Failure In Cardiac Surgery03 Perioperative Renal Failure In Cardiac Surgery
03 Perioperative Renal Failure In Cardiac Surgery
 
02 Sperati Prevention And Management Of Acute Renal Failure
02 Sperati   Prevention And Management Of Acute Renal Failure02 Sperati   Prevention And Management Of Acute Renal Failure
02 Sperati Prevention And Management Of Acute Renal Failure
 
02 Radhakrishnan Acute Renal Failure Update
02 Radhakrishnan   Acute Renal Failure Update02 Radhakrishnan   Acute Renal Failure Update
02 Radhakrishnan Acute Renal Failure Update
 
01 Graciano Acute Renal Failure In The Intensive Care Unit
01 Graciano   Acute Renal Failure In The Intensive Care Unit01 Graciano   Acute Renal Failure In The Intensive Care Unit
01 Graciano Acute Renal Failure In The Intensive Care Unit
 
Respiratory System (2)
Respiratory System (2)Respiratory System (2)
Respiratory System (2)
 
Respiratory System
Respiratory SystemRespiratory System
Respiratory System
 
Respiratory Physiology
Respiratory PhysiologyRespiratory Physiology
Respiratory Physiology
 
Respiratory Disorders
Respiratory DisordersRespiratory Disorders
Respiratory Disorders
 
Respiration
RespirationRespiration
Respiration
 
Pulmonary Function Tests Nonotes
Pulmonary Function Tests NonotesPulmonary Function Tests Nonotes
Pulmonary Function Tests Nonotes
 
Pulmonary Function Tests
Pulmonary Function TestsPulmonary Function Tests
Pulmonary Function Tests
 
Oxygenation
OxygenationOxygenation
Oxygenation
 
Hypercapnia On Cerebral Autoregulation
Hypercapnia On Cerebral AutoregulationHypercapnia On Cerebral Autoregulation
Hypercapnia On Cerebral Autoregulation
 
Control%20of%20 Breathing
Control%20of%20 BreathingControl%20of%20 Breathing
Control%20of%20 Breathing
 
Control Of Ventilation
Control Of VentilationControl Of Ventilation
Control Of Ventilation
 
Control Of Respiratory Function
Control Of Respiratory FunctionControl Of Respiratory Function
Control Of Respiratory Function
 

Recently uploaded

Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...narwatsonia7
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...narwatsonia7
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...narwatsonia7
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
 

04 Differential Diagnosis Of Acute Renal Failure

  • 1. Differential Diagnosis of Acute Renal Failure 臺灣大學附設醫院外科 4B 加護病房實習報告 報告者 : 李浩遠 (Intern, 學號 : B8601076) 臺北醫學大學醫學系七年級
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31. Urinalysis Acute interstitial nephritis, pyelonephritis WBC casts Glomerulonephritis, malignant HTN RBC casts ATN, glomerulonephritis, interstitial nephritis Granular casts
  • 32. Urinalysis prerenal and postrenal failure, HUS/thrombotic thrombocytopenic purpura (TTP), preglomerular vasculitis, or atheroembolism Normal Acyclovir, sulfonamides, methotrexate, ethylene glycol toxicity, radiocontrast agents Crystall-uria Acute allergic interstitial nephritis, atheroembolism Eosino-philuria
  • 33. Complete blood count multiple myeloma Anemia and rouleaux formation SLE or TTP Leukopenia and thrombocytopenia common in ARF Leukocytosis
  • 34. Complete blood count liver disease or hepatorenal syndrome. Coagulation disturbances allergic interstitial nephritis, polyarteritis nodosa, or atheroemboli Eosinophilia TTP or atheroemboli Microangiopathic anemia
  • 35. Blood chemistry common complication of ARF Hypocalcemia (moderate) Hyperkalemia rapidly progressive liver failure and hepatorenal syndrome Elevations in liver transaminases rhabdomyolysis and myocardial infarction Creatine phosphokinase (CPK) elevations
  • 36. Urine indices <20 >40 Urine/plasma creatinine ratio <10-15 >20 Plasma BUN/creatinine ratio >40 <15-20 Urine sodium (mEq/L) <500 >500 Urine osmolality (mOsm/kg H 2 O) <1.012 >1.018 Urine specific gravity ATN prerenal ARF
  • 37. Laboratory Findings in the Differential Diagnosis of Acute Renal Failure:
  • 38. Laboratory Findings in the Differential Diagnosis of Acute Renal Failure:
  • 39. References Akposso K, Hertig A, Couprie R, et al: Acute renal failure in patients over 80 years old: 25-years' experience [In Process Citation]. Intensive Care Med 2000 Apr; 26(4): 400-6 3 Druml W: Prognosis of Acute Renal Failure. Nephron 1996; 53: 8-15 4 Klahr S, Miller SB: Acute oliguria. N Engl J Med 1998 Mar 5; 338(10): 671-5 2 Liano F, Pascual J: Epidemiology of acute renal failure: a prospective, multicenter, community-based study. Madrid Acute Renal Failure Study Group. Kidney Int 1996 Sep; 50(3): 811-8 1
  • 40. References Ragaller MJ, Theilen H, Koch T: Volume replacement in critically ill patients with acute renal failure. J Am Soc Nephrol 2001 Feb; 12 Suppl 17: S33-9 6 Moghal NE, Brocklebank JT, Meadow SR: A review of acute renal failure in children: incidence, etiology and outcome. Clin Nephrol 1998 Feb; 49(2): 91-5 5
  • 41. References Renal Failure, Acute September 17, 2002 eMedicine.com, Inc. 8 San A, Selcuk Y, Tonbul Z, Soypacaci Z: Etiology and prognosis in 438 patients with acute renal failure. Ren Fail 1996 Jul; 18(4): 593-9 7

Editor's Notes

  1. Breakthrough Therapy for Sleep Difficulties Introduction Getting a restful night of sleep should not be a difficult task. Unfortunately, the inability to sleep is a regular source of frustration and anxiety for as many as half of adults. Today, physicians have many more treatment options than ever before for patients with sleep problems. SONATA * (zaleplon) is the first of a new generation of sleep medications. SONATA is unrelated to benzodiazepines, barbiturates, or other drugs with known hypnotic properties. SONATA has been proven effective as a sleep inducer. In clinical trials, SONATA reduced the time to sleep onset without impairing next-day functioning. SONATA gives patients options. Patients can attempt to fall asleep naturally before they decide to use a sleep medication. SONATA can be taken before bedtime or later, if patients experience trouble falling asleep. Because of this flexibility, SONATA may be taken only on those nights when the patient actually experiences the symptoms of insomnia and at anytime during the night (provided one remains in bed 4 or more hours before becoming active again). SONATA is also fast acting. With treatment, patients fall asleep quickly, within 30 minutes or less, and can wake up ready to function after a restful sleep. This slide presentation will introduce you to the important new prescription sleep medication called SONATA. It is hoped that you find the following information on the management of insomnia educational and useful in your practice. * trademark