ACD 12/16/14: An Unusual AKI

Acd 12 16-14: creatinine newly nine from Nick Gowen

Thanks to Dr. Aneet Kaur for a nice case and a nice review of the final diagnosis.  Can you diagnose this case before she gives it away?


General Review of AKI:

I looked for the best reviews I could find on acute kidney injury and a found a few good ones.

Here is a pdf Lancet article on AKI (probably will need to be on campus for this link)

Here is a pdf of a very short book chapter with lots of nice graphs and figures.

As a free bonus, here is a pdf of the chapter on potassium metabolism disorders.




Urinary Eosinophils:

We had an interesting discussion of urinary eosinophils.  There are tons of articles and opinion pieces on this subject.  I linked a few of them here for those who want to read more:

Here's a nice post from a fellow blogspot blogger called The Renal Fellow Network: The End of the Road for Urinary Eosinophils?  The blog post discusses the article "Utility of urine eosinophils in the diagnosis of acute interstitial nephritis. -Clin J Am Soc Nephrol."

Some background from the Medical Laboratory Observer

I don't normally link to uptodate articles, because they are easy to find yourself. But this is a super quick, concise article about the usefulness of urinary eosinophils. And Dr. Corwin's original article on the subject from 1985 is in the references.


The diagnosis in this case:

Here is a very concise review of the diagnosis in this case from a surgery textbook and a more in depth review from a critical care journal.

Posted by Gank_90

Tweet