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رجوع لأسئلة AKI & CKD 9 / 24
C-095 مطابق للمصدر

a 45-year-old man with hypertensive and diabetes came to the emergency room with a crush injury in his leg after a car accident. He is hypotensive and tachycardic. his lab results show increased creatinine and BUN along with a high increase in creatinine kinesis. in urine analysis, there's hematuria with no red blood cells.

سؤال مجاني 7 من 10 اليوم · اشترك وكمّل بدون حد

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الإجابة والشرح

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الإجابة: C. rhabdomylysis

✓ مطابق للمصدر Step Up To Medicine 6th 2024 (AKI).pdf · p. 5

A crush injury with a markedly raised CK, rising creatinine/BUN and urine that is positive for blood but shows no RBCs (myoglobinuria) is rhabdomyolysis causing pigment-induced ATN.

  • Prerenal azotemia fits the hypotension but does not explain the very high CK or the heme-positive urine without RBCs.
  • AIN (drug, eosinophils) and postrenal obstruction have no support in the stem.
  • Treatment: aggressive IV fluids.
المصدر
Step Up To Medicine 6th 2024 (AKI).pdf · p. 5
1. Acute Kidney Injury.pdf · p. 2
المحاضرة
AKI & CKD · Nephrology · Module C
ظهر في
MED42 ♀ EOM C
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