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п13 Page 163 пппппппппппппппппппппппппппппппппппппппп31 Acute renal failure пппCAUSES пPRERENAL Hypoperfusion в Hypovolaemia в Septicaemia в Hypoxaemia в Nephrotoxins в Pancreatitis в Liver cell dysfunction в Bilirubin в Other toxins RENAL в Any established cause of prerenal or postrenal в Glomerular damage пв Glomerulonephritis в Tubular damage в Toxins в Drugs в Pyelonephritis в Vascular damage в Acute vasculitis в Diabetes в Hypertension POSTRENAL в Primary tumours в Secondary tumours в invasion в Stones в Blood clots в Bladder obstruction в Infestations (worms) пппппFEATURES ппUosmolality UNa UureaPurea UosmPosm Normal Approx 400в500 mosmkg 10в20 mmoll Approx 51 Approx 1.
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