Author: Dena Al-waidh, Faisal Faruqi / Editor: Sarah Edwards / Codes: NepC1, SLO1, SLO8 / Published: 14/04/2025
An 80-year-old woman presents to the emergency department (ED) after an unwitnessed fall at home. She has a history of hypertension and type 2 diabetes but no previous kidney issues.
On examination and investigation, the following findings are noted:
Key Features:
- Haemoglobin: 52 g/L (severe anaemia).
- Creatinine: 350 µmol/L (baseline: 80 µmol/L; AKI stage 3).
- Potassium: 5.4 mmol/L
- WCC: 15 x 10⁹/L; CRP: 120 mg/L.
- Urine Output: Oliguria, <0.3 mL/kg/hour over 8 hours.
- Blood Pressure: 100/70 mmHg; irregular heart rate at 130 bpm.
- Chest: Clear; no pulmonary oedema
- Examination: Abdo SNT. No signs of urinary infection or overt bleeding