Nephrology Question 38 Instructor

A 67 year old female is admitted with congestive heart failure and angina. She is started on diuretics and an ACE inhibitor and then undergoes cardiac catheterization. Her creatinine on admission was 150 and rose to 400 three days later.

List five potential causes for the decline in her renal function.

Possible diagnoses include:

  • Congestive heart failure with decreased cardiac output/Overly aggressive diuresis
  • Use of an ACE inhibitor in the setting of unrecognized bilateral renal artery stenosis
  • Contrast nephropathy
  • Cholesterol embolic disease
  • Acute interstitial nephritis from drugs

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