Site |
Trigger |
Pre-renal |
- Volume depletion due to hemorrhage, severe vomiting or diarrhea, burns |
|
- Edema due to cardiac failure, cirrhosis, nephrotic syndrome |
|
- Hypotension due to cardiogenic shock, sepsis, anaphylaxis |
|
- Cardiovascular due to severe cardiac failure, arrhythmias |
|
- Renal hypoperfusion induced by non-steroidal anti-inflammatory drugs (NSAIDs) or specific enzyme inhibitors or receptor blockers involved in the renin-angiotensin axis, abdominal aortic aneurysm, renal artery stenosis or occlusion, hepatorenal syndrome |
Renal |
- Glomerular disease due to inflammation (glomerulonephritis), thrombosis, hemolytic uraemic syndrome |
|
- Tubular injury due to acute tubular necrosis following prolonged ischaemia, and nephrotoxins such as aminoglycosides, radiocontrast media, cisplatin, heavy metals |
|
- Acute interstitial nephritis due to drugs (e.g. NSAIDs), infection or autoimmune diseases |
|
- Vascular disease including vasculitis, cryoglobulinaemia, polyarteritis nodosa, thrombotic microangiopathy, cholesterol emboli, renal artery stenosis, renal vein thrombosis, malignant hypertension |
|
- Eclampsia |
Post-renal |
- Urinary tract obstructions due to Calculus formation (i.e. kidney stones), urethral stricture, prostatic hypertrophy or malignancy, blood clot |
|
- Papillary necrosis |
|
- Bladder tumor |
|
- Radiation and retroperitoneal fibrosis |
|
- Pelvic malignancy |