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Case 3.1

Educational resources for renal medicine

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Case 3.1

As this man has no history of recent use of medication or toxins (ACEi/NSAID/Antibiotics/Contrast) or of prolonged hypotension, we can probably rule out Renal Artery Stenosis (RAS), Acute Tubular Necrosis (ATN) and Acute Interstitial Nephritis (AIN) (remember page 3 showed 'Renal" causes of Acute Renal Failure.

His FBC does not suggest a failing Hb or platelet count, so we can rule out HUS/TTP (usually see a microangiopathic haemolytic anaemia and thrombocytopenia).

What he does have is: oedema, hypertension, an active urine sediment (significant blood and protein in the urine) and renal impairment (increased creatinine). This would suggest that he might have a Nephritic type of disease (or rapidly progressive glomerulonephritis).

 

Question 4

What further tests might you want to order? (Think and write them down)

  Click to show answer
 
Page last modified 01.12.2016, 13:25 by Emma Farrell. edrep and edren are produced by the Renal Unit at the Royal Infirmary of Edinburgh and Univ. Edinburgh. CAUTIONS and Contact us. Note that the information published here is primarily intended for education, not for clinical care.