Intra-abdominal Pressure and Renal Function: The Venous Side of the Road
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Jon-Emile S. Kenny [@heart_lung] "An' it ain't no use in turnin' on your light, babe, I'm on the dark side of the road ..." -Bob Dylan A 44 year old man with cryptogenic cirrhosis is admitted with large ascites and acute kidney injury. A 50 mL, diagnostic paracentesis reveals 12 PMNs and he is admitted from the emergency department for further evaluation of his renal dysfunction. On the medical floor, initial urine sodium is < 10 mEq/L and urine osmolality is 1100 mOsm/kg. He is labeled as ‘pre-renal’ and given 3 litres of lactated ringers overnight. The following morning, his urine output is minimal and his creatinine has quintupled.
Intra-abdominal Pressure and Renal Function: The Venous Side of the Road
Intra-abdominal Pressure and Renal Function…
Intra-abdominal Pressure and Renal Function: The Venous Side of the Road
Jon-Emile S. Kenny [@heart_lung] "An' it ain't no use in turnin' on your light, babe, I'm on the dark side of the road ..." -Bob Dylan A 44 year old man with cryptogenic cirrhosis is admitted with large ascites and acute kidney injury. A 50 mL, diagnostic paracentesis reveals 12 PMNs and he is admitted from the emergency department for further evaluation of his renal dysfunction. On the medical floor, initial urine sodium is < 10 mEq/L and urine osmolality is 1100 mOsm/kg. He is labeled as ‘pre-renal’ and given 3 litres of lactated ringers overnight. The following morning, his urine output is minimal and his creatinine has quintupled.