A young man was admitted to hospital with severe abdominal injuries after being

Question

A young man was admitted to hospital with severe abdominal injuries after being hit by a car.

He was severely shocked with a swollen tender abdomen.
After IV fluids and blood, splenectomy was performed as well as resection of a torn duodenum.

Three days later, he became hypotensive
A leak in gangrenous bowel was repaired.
Following this, the patient became oliguric.

Admission Lab Work:

Analyte

Patient

Normal Range

Na
K
HCO3
Urea
Creatinine
PO4
Albumin

128 mMol/L
5.9 mMol/L
16 mMol/L
22.0 mMol/L
225 µMol/L
2.96 mMol/L
28 G/L

132 - 144
3.2 - 4.8
23 - 33
3.0 - 8.0
60 - 120
0.8 - 1.4
35 - 55

Urine:
Na
Urea

80 mmol/L
50 mmol/L

What is going on with the patient?

Analyte

Patient

Normal Range

Na
K
HCO3
Urea
Creatinine
PO4
Albumin

128 mMol/L
5.9 mMol/L
16 mMol/L
22.0 mMol/L
225 µMol/L
2.96 mMol/L
28 G/L

132 - 144
3.2 - 4.8
23 - 33
3.0 - 8.0
60 - 120
0.8 - 1.4
35 - 55

Urine:
Na
Urea

80 mmol/L
50 mmol/L

Explanation / Answer

Acute Kidney Injury:

AKI have been proposed recently, and include both increases in serum creatinine levels and decreases in urine output as diagnostic criteria. The pathophysiology of postoperative AKI is complex and involves both ischemic injury and systemic inflammation. Identifying risk factors, such as old age, underlying diabetes, heart failure, and obesity, may aid in the application of preventative methods for postoperative AKI. Additionally, recognizing different risks after different types of surgical procedures would be valuable.

Related Questions

Navigate

• Browse (All)
• Browse A
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.