babli
Forum Guru
Topics: 40
Posts: 425
|
A 3-year-old girl is brought to the emergency room in a rural community after a being found in the family’s garage with her legs pinned under a heavy shelf. Her family states that they thought she had been napping for a few hours prior to finding her, and they were not sure how long she had been in the garage. The girl was in stable condition with closed, distal tibial and fibular fractures of the left leg. There was no significant blood loss. She was admitted to the hospital for observation and pain control while waiting for orthopedic care. After several hours, she is noted to be hypotensive and febrile with decreased alertness. A serum creatine kinase level is 32,000 IU/L. The child subsequently develops acute renal failure.
A. acute tubular necrosis
B. liver laceration
C. myoglobinuria
D. renal cell carcinoma
E. renal papillary necrosis
F. renal tuberculosis
G. rhabdomyosarcoma
H. subcapsular renal hematoma
I. subcapsular splenic hematoma
J. ureteral tear
|
| mesh
Forum Guru
Topics: 77
Posts: 401
|
c
|
| srf
Forum Guru
Topics: 73
Posts: 405
|
C
___________________
life is reality without an eraser
|
| babli
Forum Guru
Topics: 40
Posts: 425
|
C is correct.
|
| achilles
Forum Guru
Topics: 87
Posts: 1,208
|
yup C...its crushing injury to the muscles.
___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
|
| drgmc
Forum Newbie
Topics: 0
Posts: 2
|
why not 1?
there is hypotension and also myoglobin
plz explain
|
| suzy
Forum Junior
Topics: 13
Posts: 40
|
yes why is it not 1?
|
| study_ing
Forum Fanatic
Topics: 180
Posts: 2,511
|
there is no significant history of lodd loss..hence hypoperfusion leading to atn is less likely than myoglobinuria
___________________
If you yourself are at peace, then there is at least some peace in the world.
|
| frank100
Forum Guru
Topics: 48
Posts: 586
|
c
|
| chemamr
Moderator and PGY2
Topics: 703
Posts: 4,442
|
c
___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
|
|
| |
| | | | | | | | | | |
