O03.82

Clinical Causes: Severe blood loss during or after spontaneous abortion leading to shock Infections resulting from incomplete abortion or retained tissue, causing inflammation and kidney damage Hypotension or low blood pressure causing decreased blood flow to the kidneys Pre-existing kidney disease exacerbated by pregnancy loss Use of certain medications or toxins that impair kidney function during or following abortion Disseminated intravascular coagulation (DIC) triggered by pregnancy complications, affecting kidney blood flow

Key Symptoms: Decreased urine output or sudden oliguria Swelling in legs, ankles, or face due to fluid retention Nausea and vomiting Altered mental state or confusion Shortness of breath due to fluid overload Fatigue and weakness Elevated blood pressure or, in some cases, low blood pressure Signs of infection such as fever or chills

Diagnosis Path: Blood tests to check kidney function markers like serum creatinine and blood urea nitrogen (BUN) Urinalysis to assess kidney filtering ability and detect abnormalities such as proteinuria or blood in the urine Imaging studies such as ultrasound to evaluate kidney structure and rule out other causes of kidney impairment Assessment of fluid balance and blood pressure monitoring Additional tests to identify underlying causes, including infection screening and coagulation profiles

Treatment Protocols: Intravenous fluids to restore blood volume and improve kidney perfusion Medications to control blood pressure and treat infections Dialysis may be necessary in cases of severe kidney failure to perform the filtering functions artificially Treating underlying issues such as bleeding, infection, or coagulation disorders Monitoring electrolyte levels and managing imbalances Supportive care with close medical supervision