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
Diagnosis : Prerenal failure as a complication for heart failure
14 comments:
oedema
heart failure and then as a result compromised kidney function
Acute renal failure
Pre-renal kidney failure???
I'm sorry, but the history is mediocre, how long ago was the MI, 3 days or 3 years?
Acute Renal Failure
insuficencia renale ?
The patient has acute renal failure
Low cardiac output causing pre-renal kidney failure
renal hypertension
Congestive heart failure/Cardiogenic Shock due to the previous MI leading to Pre-renal kidney failure.
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.
renal failure
it could be pre-renal kidney failure.
insucitientia renalis acuta
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