Case Files High-Risk Obstetrics (LANGE Case Files) by Toy Eugene C. & Yeomans Edward & Fonseca Linda & Ernest Joseph M
Author:Toy, Eugene C. & Yeomans, Edward & Fonseca, Linda & Ernest, Joseph M. [Toy, Eugene C.]
Language: eng
Format: mobi
Publisher: McGraw-Hill Medical
Published: 2010-11-08T16:00:00+00:00
What is your next step?
What are the short-term and long-term consequences of this patient’s diagnosis?
ANSWER TO CASE 22:
Acute Kidney Injury
Summary: This is a 36-year-old G4P3003 at term with frequent contractions, vaginal bleeding, tachycardia, uterine tenderness, and fetal death. This presentation is attributable to abruption of the placenta. After delivery, the patient is hypovolemic and virtually anuric.
Most likely cause of anuria following placental abruption: Sudden severe volume depletion from hemorrhage, leading to decreased renal blood flow (ischemia).
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