Faculty Of Medicine

Blog For Young Doctors And Medical Students.

Short Medical Case Study "1"

 
A 58 years old male with a history of myocardial infarction came to the emergency room complaining from severe oliguria of 2 days duration , investigations revealed that he has high level of creatinine in addition to uremia.

What is your provisional diagnosis for this case?


Diagnosis : Prerenal failure as a complication for heart failure



14 comments:

Anonymous said...

oedema

Antoniya said...

heart failure and then as a result compromised kidney function

Dr.zika said...

Acute renal failure

Lip said...

Pre-renal kidney failure???

I'm sorry, but the history is mediocre, how long ago was the MI, 3 days or 3 years?

Anonymous said...

Acute Renal Failure

Anonymous said...

insuficencia renale ?

Dr Elumelu said...

The patient has acute renal failure

Anonymous said...

Low cardiac output causing pre-renal kidney failure

Dr Eddie said...

renal hypertension

Anonymous said...

Congestive heart failure/Cardiogenic Shock due to the previous MI leading to Pre-renal kidney failure.

Anonymous said...

If the infarct is fresh it is acute renal failure. The causes can be:
1. hypercalemia
2. high serum myoglobin
3. low minute volume...
I don't see the connection between earlier infarct and sudden severe oliguria.

Anonymous said...

renal failure

Anonymous said...

it could be pre-renal kidney failure.

Anonymous said...

insucitientia renalis acuta