A 28-year-old soldier from the army barracks is transferred to your hospital. He feels lethargic, has generalised myalgia and has passed dark urine. On arrival he is alert, HR 100/min, BP 128/70, RR 20/min and temperature 37.5 degrees C.
His initial results are shown below.
| Test |
Result |
Reference range |
| Na |
130 mmol/L |
135-145 |
| K |
6.5 mmol/L |
3.5-4.5 |
| Cl |
95 mmol/L |
95-110 |
| Urea |
15 mmol/L |
2.9-7.1 |
| Creatinine |
320 umol/L |
45-90 |
| Bilirubin |
20 mmol/L |
0-25 |
| ALP |
110 U/L |
30-110 |
| GGT |
25 U/L |
0-30 |
| ALT |
100 U/L |
<45 |
| AST |
510 U/L |
<45 |
| WCC |
20 x 10^9/L |
3-11 |
| Hb |
150 g/L |
115-165 |
| Platelets |
400 x 10^9/L |
150-450 |
What is the most likely diagnosis? Indicate your reasons.
(Marked out of 2.0)
/ 2
What other investigations would you do?
(Marked out of 2.0)
/ 2
What is your initial management of this patient?
(Marked out of 3.0)
/ 3
What are the management options for the acute kidney injury?
(Marked out of 3.0)
/ 3
Total Score: 0 / 10
Percentage: 0%
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