drrabines
Forum Elite
Topics: 90
Posts: 184
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54 yo man, who was shooted in the abdomen and goes for extensive abd surgery, he receives 20 (twenty) blood units in the operating room, 2 days later after a succesfully surgery, he develops an increment in his Creatinine to 3 and in the Urine you see casts, no fever
what is the cause of his creatinine increment
(It was something like that the question in my step 2)
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| gballarino
Forum Senior
Topics: 12
Posts: 96
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what kind of casts?
what were his vitals?
:idea: I would think about prerenal azotemia. He probably lost a lot of blood and his kidneys were some time without receiving enough flow to make those glomeruli work. I would say that volume status derangements would be the first thing to think about in a post op renal insuficiency.
:idea: If the lack of flow was long enough, he probably underwent acute tubular necrosis, which would also explain the casts.
Of course thereīs a long list of differential diagnosis for high creatinine.
Were there any options?
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Guillermo Ballarino
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I cannot remember the options but I choose your answer too, my cue was the casts too
thanks for your answer, helīps me so much
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