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AAP Textbook of Pediatric Care

Chapter 236: Anuria and Oliguria

Amrish Jain, MD; Tej K. Mattoo, MD, DCh, FRCP(UK)
Images

Figure 236-1
Algorithm for management of patients with oliguria or anuria. BUN, Blood urea nitrogen.

Anuria and Oliguria Fig 0317
This periodic acid-Schiff stain shows renal glomeruli with fibrin thrombi from a 10-year-old boy who became anuric from hemolytic uremic syndrome.

Anuria and Oliguria Fig 0318
This oliguric 3-year-old boy with an abnormal intravenous pyelogram has bilateral Wilms tumors.

Anuria and Oliguria Fig 0319
A bisected left kidney with Wilms tumor from an oliguric 3-year-old boy. (Same boy as in image 318.)

Anuria and Oliguria Fig 0320
This 1-year-old boy with congenital myelomeningocele became oliguric secondary to severe bilateral hydronephrosis.

Anuria and Oliguria Fig 0321
A radiograph of the abdomen of an oliguric 1-year-old boy taken 15 minutes from the beginning of intravenous pyelography, showing bilateral hydronephrosis.

Anuria and Oliguria Fig 0322
A large radiodensity is present in the area of the left kidney in a radiograph taken 20 hours after beginning intravenous pyelography in an oliguric 1-year-old boy, indicative of severe hydronephrosis. (Same boy as in image 321.)

Anuria and Oliguria Fig 0323
The resected kidney of an oliguric 1-year-old boy with striking dilatation and parenchymal destruction. (Same boy as in images 321 and 322.)

Anuria and Oliguria Fig 0324
Polycystic kidneys from an anuric newborn.

Anuria and Oliguria Fig 0325
An abdominal radiograph of an oliguric 1-year-old girl showing radiodensities compatible with horseshoe kidneys.

Anuria and Oliguria Fig 0326
The horseshoe kidneys of a 1-year-old girl who became anuric, azotemic, and acidotic.

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