AKI| Post-Renal Obstruction

Etiology

  • At level of ureters usually unilateral--> stone, cancer
  • Bilateral typically at level of bladder--> severe BPH, neurogenic bladder, bladder neck stricture, clot retention
  • Rarely bilateral obstruction from processes involving both ureters--> retroperitoneal fibrosis, sigmoid cancer

Symptoms

  • Can be acute w/pain if obstruction happened suddenly
  • Often more subtle if slowly progressive, as w/BPH
  • Fatigue, confusion, shortness of breath

Physical Exam Findings

  • Sometime palpable bladder
  • Peripheral edema, pulmonary edema if advanced

Sub-Diseases