CIDPUSA.ORG

Acute Renal Failure

return to ARF page

 

TABLE 2 Probable Causes of Acute Renal Failure Based on the Findings of the History

History Probable causes of acute renal failure Review of systems Pulmonary system      Sinus, upper respiratory or pulmonary symptoms Pulmonary-renal syndrome or vasculitis Cardiac system      Symptoms of heart failure Decreased renal perfusion    Intravenous drug abuse, prosthetic valve or valvular disease Endocarditis Gastrointestinal system      Diarrhea, vomiting or poor intake Hypovolemia    Colicky abdominal pain radiating from flank to groin Urolithiasis Genitourinary system      Symptoms of benign prostatic hypertrophy Obstruction Musculoskeletal system      Bone pain in the elderly Multiple myeloma or prostate cancer    Trauma or prolonged immobilization Rhabdomyolysis (pigment nephropathy) Skin      Rash Allergic interstitial nephritis, vasculitis, systemic lupus erythematosus, atheroemboli or thrombotic thrombocytopenic purpura Constitutional symptoms      Fever, weight loss, fatigue or anorexia Malignancy or vasculitis Past medical history Multiple sclerosis, diabetes mellitus or stroke Neurogenic bladder Past surgical history Recent surgery or procedure Ischemia, atheroemboli, endocarditis or exposure to contrast agent Medication history Angiotensin-converting enzyme inhibitors, nonsteroidal anti-inflammatory drugs, antibiotics or acyclovir (Zovirax) Decreased renal perfusion, acute tubular necrosis or allergic interstitial nephritis, High BUN

Continue to Kidney Failure Page