21 results
Westermark sign! (R pulmonary oligemia seen on CXR). Unicorns do exist! Seen in <2% of PE
-
(R pulmonary oligemia ... Westermark #Sign #Oligemia
Approach to Oliguria 
Oliguria (urine output <0.3-0.5 cc/kg IBW) 

- Dr. Josh Farkas @PulmCrit

#Oliguria #Diagnosis #Management
Approach to Oliguria ... Oliguria (urine ... @PulmCrit #Oliguria
Normal urine output 
- 0.5 to 1.5 cc/kg/hour 
- A patient should be urinating at least
Oliguria - Decreased ... urine #output #oliguria
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
unclear etiology; oliguria
Markers of Organ Dysfunction in Severe Sepsis 
Altered consciousness 
Confusion 
Psychosis 

Tachycardia 
Hypotension 
Altered CVP 
Altered
PT Albumin Oliguria
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
and creatinine. oliguria
Definitions of AKI, CKD, AKD
Acute Kidney Injury (AKI):
 • Increase in SCr by 2 50% within
hours, OR • Oliguria
Diagnostic Criteria for Scleroderma Renal Crisis 

1. New onset blood pressure >150/85 mm Hg OR increase
microscopy - Oliguria
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
cool extremities, oliguria
On the left a patient with ground glass pattern in a mosaic distribution.
The clue here is
lung adjacent to oligemic