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Titlebook: Clinical Companion in Nephrology; Jack Fairweather,Mark Findlay,Christopher Isles Textbook 2020Latest edition Springer Nature Switzerland

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Causes of Acute Kidney Injurymcg daily, which he has been on for 2 years. His BP 134/78 mmHg, his heart rate 72 beats per minute and he has suprapubic tenderness on examination. His urinalysis shows only a trace of proteinuria and no haematuria, his CRP 14 and WCC 9.4.
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Cardiorenal Failurerenal function acutely worsened and both furosemide and ramipril were discontinued. During his admission he has suffered several episodes of pulmonary oedema. His echocardiogram demonstrated LVH with preserved LV systolic function and his coronary angiogram did not demonstrate significant disease.
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Investigation, Management and Outcome of Acute Kidney Injury. She is nauseated and tired but orientated. Her BP is 87/60 mmHg, her SpO. 94% on 10 L oxygen, and her chest X-ray demonstrates bilateral consolidation. Her serum creatinine is 642 μmol/L, urea 14.3 μmol/L, potassium 4.9 mmol/L and bicarbonate 19 mmol/L.
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23050000 Wälzlager, Gleitlager, Gelenklagerultrasound demonstrates no obstruction. He is oliguric, his serum creatinine is 241 μmol/L and potassium 3.8 mmol/L. Two liters of IV saline has not improved his urine output. Last month, his creatinine was 37 μmol/L. You suspect him to have hepatorenal syndrome.
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