Prompt and accurate assessment of the origins of azotemia—pre renal, renal, and/or postrenal—is essential to the proper management of azotemic patients. Prerenal azotemia occurs when decreased renal perfusion results in a diminished glomerular filtra tion rate (GFR); common causes of pre renal azotemia include volume depletion, vascular collapse, thrombotic diseases, and shock (cardiogenic, ...