Table 2. Causes of acute renal failure .
Reduced circulating volume (60%) |
1. Blood loss, excess gastrointestinal losses, burns, low cardiac output, toxic or ischemic myocardial depression 2. Drug induced renal profusion angiotensin converting enzyme inhibitors, non- steroidal anti-inflammatory drugs) 3. Large vessels e.g. renovasculature disease), small vessel occlusion: disseminated intra-vasculature coagulation; hemolytic uremic syndrome (HUS) |
Toxic ATN (5%) |
Rhabdomyolysis with urinary myoglobin, Radio contrast nephropathy |
Structure abnormality of renal vasculature (15%) | Large vessels e.g. renovascular diseases |
Acute glomerulonephritis and vasculitis (15%) | ANCA –positive vacuities, Goodpasture syndrome |
Interstitial nephritis (5%) | |
Myeloma/tubular cast nephropathy (5%) |
ANCA= anti-neutrophil cytoplasmic autoantibody; ATN= acute tubular necrosis