Medical Videos
06-05-2009, 09:24 AM
Acute renal failure
Def. Acute onset of deterioration of kidney functions within a period of hours of days it is reversible with tretment of the cause.
Causes:
Pre – renal: ( correctable, i.e. normal kidney with ¯perfusion)
-hypo volemia blood hge
plasma burns
fluids G. E.
pancreatitis
-shock with normal intravascular volume Cardiogenic shock
Massive pulm. Embolism
Renal causes= (Intrinsic parynchymal renal disease):
-Acute tubular necrosis.
-Acute interstitial nephritis.
-Acute severe pyelonephritis with papillary necrosis. e.g in D.M.
-acute G.N.
-Malignant hypertension.
Post-renal= (obstruction):
bilat. ureteric obstruction.
unilat.Ureteric obstr. With non functioning or absence of the other kidney
Pt with acute onset of
loin pain anuria deterioration of kid. f unction
suspect obstruction
sonar (showing stones & signs of back pressure)
urological interference.
Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)
Def. Acute onset of deterioration of kidney functions within a period of hours of days it is reversible with tretment of the cause.
Causes:
Pre – renal: ( correctable, i.e. normal kidney with ¯perfusion)
-hypo volemia blood hge
plasma burns
fluids G. E.
pancreatitis
-shock with normal intravascular volume Cardiogenic shock
Massive pulm. Embolism
Renal causes= (Intrinsic parynchymal renal disease):
-Acute tubular necrosis.
-Acute interstitial nephritis.
-Acute severe pyelonephritis with papillary necrosis. e.g in D.M.
-acute G.N.
-Malignant hypertension.
Post-renal= (obstruction):
bilat. ureteric obstruction.
unilat.Ureteric obstr. With non functioning or absence of the other kidney
Pt with acute onset of
loin pain anuria deterioration of kid. f unction
suspect obstruction
sonar (showing stones & signs of back pressure)
urological interference.
Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)