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medical discussion

Diagnosis For Acute Renal Failure

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2015-06-24 20:15:17
34 yr alcoholic, having c/o fever, dyspnea, pedal edema since 5 days, creat. 4.2,urea 109, WBC 14200, ECG and cxr wnl, all other finding are normal. Inj.lasix, inj.ceftiaxone and some symptomatic treatment. Pt.is subconscious. What could be the most probable diagnosis for acute renal failure?

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Dr.  Alfred
2015-06-25 05:57:08

Did u check s.amylase, s.lipase and liver functions. Acute pancreatitis is leading cause in case scenario provided..because of altered sensorium situation difficult to diagnose only on clinical basis. Need evaluation in form of usg and MRCP for ascessment if indicated.

Dr.  George
2015-06-25 05:56:06

Cause may be prerenal , renal or post renal . U have to do the basic work up including proper history and baseline investigations including USG KUB. And rule out one by one

Dr.  Ursula
2015-06-25 05:53:46

Evaluation of the case is not sufficient. Usg of KUB to exclude acute on chronic R F. Here high wbc may indicate septicemia and circulatory failure leading to renal shut down.

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