Step II ATN question

[coreytayloris]

Advertisement - Members don't see this ad

a 74 year old blind man is admitted with obstructive uropathy and chest pain. he has a history of hypertension and diabetes. his creatinine drops from 10/mg dl to 1.2 mg/dl three days after catherter placemetn.

why does creatinine drop in this contrast induced nephrotoxicity. ???

question from mtb2

 

[mercaptovizadeh]

a 74 year old blind man is admitted with obstructive uropathy and chest pain. he has a history of hypertension and diabetes. his creatinine drops from 10/mg dl to 1.2 mg/dl three days after catherter placemetn.

why does creatinine drop in this contrast induced nephrotoxicity. ???

question from mtb2

What contrast? The catheter is a Foley, not an IV catheter via which contrast was administered.

He has post-renal AKI, hence the high AKI with obstruction. Inserting the Foley voids the bladder and relieves the urine backlog, restoring kidney function and dropping the creatinine.

 

[coreytayloris]

What contrast? The catheter is a Foley, not an IV catheter via which contrast was administered.

He has post-renal AKI, hence the high AKI with obstruction. Inserting the Foley voids the bladder and relieves the urine backlog, restoring kidney function and dropping the creatinine.

Thanks, just re-read the question. Obviously I feel like a ******* 🙂 Thank you.