Prerenal versus Intrarenal

 

Finding Prerenal Intrinsic
BUN/Creatinine Ratio > 20 10-20
FENa < 1% >2%
Urine Na (meq/L) < 20 > 40
Specific Gravity > 1.020 ~ 1.01
Urine osmolality (mOsm/kg) > 500 < 350
Sediment normal granular casts,
epithelial casts