A 70-year-old man presents with rising creatinine over several days following initiation of high-dose ibuprofen for osteoarthritis. His baseline creat...

Question

A 70-year-old man presents with rising creatinine over several days following initiation of high-dose ibuprofen for osteoarthritis. His baseline creatinine was 90 µmol/L and is now 180 µmol/L. He is volume-depleted on examination, with low JVP and dry mucous membranes. Urinalysis is bland. What is the most likely diagnosis?

Accepted Answer

Pre-renal acute kidney injury from NSAID use and volume depletion

Answer

Acute interstitial nephritis

Answer

Post-renal obstruction

Answer

Acute glomerulonephritis

Answer

Chronic kidney disease progression

ca-mccqe1 MCQ (SBA): Pre-renal acute kidney injury