Post-obstructive diuresis - Revision history

ClaireLewis at 15:42, 18 August 2019

2019-08-18T15:42:11Z

← Older revision		Revision as of 15:42, 18 August 2019
Line 4:		Line 4:

	==Clinical Features==		==Clinical Features==
	* Polyuria after relief of urinary tract obstruction (frequently Foley catheter placement)		* [[Polyuria]] after relief of urinary tract obstruction (frequently Foley catheter placement)
	* Some patients may experience hematuria, which is rarely clinically significant <ref>Nyman MA et al. Management of urinary retention: rapid versus gradual decompression and risk of complications. Mayo Clin Proc. 1997;72(10):951</ref>		* Some patients may experience hematuria, which is rarely clinically significant <ref>Nyman MA et al. Management of urinary retention: rapid versus gradual decompression and risk of complications. Mayo Clin Proc. 1997;72(10):951</ref>

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Polyuria ~~ddx}}~~		===[[Polyuria]]===
			*Osmotic diuresis
			**[[Hyperglycemia]]
			**[[Mannitol]]
			*Drugs: [[diuretics]], [[caffeine]], [[acetazolamide]], [[lithium]]
			*[[Hypercalcemia]]
			*[[Hypokalemia]]
			*[[Diabetes insipidus]]
			*[[Cushing's syndrome]], primary hyperaldosteronism
			*Inability to concentrate urine (e.g. chronic [[pyelonephritis]], [[sickle cell disease]], [[amyloidosis]]
			*[[Post-obstructive diuresis]]
			*Early [[renal failure]]
			*High fluid intake
			**Excess [[IVF]]
			**Psychogenic polydipsia

	==Evaluation==		==Evaluation==

2019-06-10T00:52:11Z

Evaluation

← Older revision		Revision as of 00:52, 10 June 2019
Line 12:		Line 12:
	==Evaluation==		==Evaluation==
	* Urine is usually hypotonic with large amounts of sodium chloride, potassium, phosphate and magnesium <ref>Jameson et al. Harrison's Principles of Internal Medicine 20th edition. Chapter 313.</ref>		* Urine is usually hypotonic with large amounts of sodium chloride, potassium, phosphate and magnesium <ref>Jameson et al. Harrison's Principles of Internal Medicine 20th edition. Chapter 313.</ref>
	* Urine Output > 125 - 200mL/hour after relief of obstruction <ref>Nyman et al. Management of Urinary Retention: Rapid Versus Gradual Decompression and Risk of Complications. Mayo clinic proceedings. 1997;72:951-956.</ref>		* Urine Output > 125 - 200mL/hour after relief of obstruction for at least 3 consecutive hours<ref>Nyman et al. Management of Urinary Retention: Rapid Versus Gradual Decompression and Risk of Complications. Mayo clinic proceedings. 1997;72:951-956.</ref>
	* Urine Osmolarity > 250mosm/kg <ref>Reynard et al. Oxford Handbook of Urology. Chapter 4. 2005. Oxford University Press.</ref>		* Urine Osmolarity > 250mosm/kg <ref>Reynard et al. Oxford Handbook of Urology. Chapter 4. 2005. Oxford University Press.</ref>

2018-09-20T02:34:09Z

Polyuria

2018-09-20T02:30:18Z

Clinical Features

← Older revision		Revision as of 02:30, 20 September 2018
Line 4:		Line 4:

	==Clinical Features==		==Clinical Features==
	* Polyuria after relief of urinary tract obstruction		* Polyuria after relief of urinary tract obstruction (frequently Foley catheter placement)
	* Some patients may experience hematuria, which is rarely clinically significant <ref>Nyman MA et al. Management of urinary retention: rapid versus gradual decompression and risk of complications. Mayo Clin Proc. 1997;72(10):951</ref>		* Some patients may experience hematuria, which is rarely clinically significant <ref>Nyman MA et al. Management of urinary retention: rapid versus gradual decompression and risk of complications. Mayo Clin Proc. 1997;72(10):951</ref>

2018-09-20T02:29:02Z

Disposition

← Older revision		Revision as of 02:29, 20 September 2018
Line 24:		Line 24:

	==Disposition==		==Disposition==
	* ~~Frequently admission for IVF replacement and electrolyte monitoring~~		*Admit

	==See Also==		==See Also==

2018-09-20T01:56:56Z

Differential Diagnosis

2018-09-17T02:38:49Z

Clinical Features

← Older revision		Revision as of 02:38, 17 September 2018
Line 5:		Line 5:
	==Clinical Features==		==Clinical Features==
	* Polyuria after relief of urinary tract obstruction		* Polyuria after relief of urinary tract obstruction
	*		* Some patients may experience hematuria, which is rarely clinically significant <ref>Nyman MA et al. Management of urinary retention: rapid versus gradual decompression and risk of complications. Mayo Clin Proc. 1997;72(10):951</ref>

	==Differential Diagnosis==		==Differential Diagnosis==

2018-09-17T02:03:03Z

Disposition

← Older revision		Revision as of 02:03, 17 September 2018
Line 20:		Line 20:

	==Disposition==		==Disposition==
			* Frequently admission for IVF replacement and electrolyte monitoring

	==See Also==		==See Also==

2018-09-17T02:01:11Z

Management

← Older revision		Revision as of 02:01, 17 September 2018
Line 17:		Line 17:
	==Management==		==Management==
	* Fluid replacement with care not to perpetuate diuresis		* Fluid replacement with care not to perpetuate diuresis
			* IV vs. PO replacement is institution and patient specific

	==Disposition==		==Disposition==

2018-09-12T23:24:46Z