Chief Compliant: The patient is a 50 year old white male with diabetes who presents with an elevated creatinine for 2 weeks.
History of the Present Illness: Oliguria, current and baseline creatinine and BUN. Diabetes, hypertension; history of pyelonephritis, sepsis, heart failure, liver disease; peripheral edema, dark colored urine, rashes or purpura. Hypovolemia secondary to diarrhea, hemorrhage, over-diuresis; glomerulonephritis, interstitial nephritis. Excessive bleeding, flank pain, anorexia, insomnia, fatigue, malaise, weight loss, paresthesias, anemia.
Medications: Nonsteroidal anti-inflammatory drugs, aminoglycosides, contrast dyes.
Family History: Polycystic kidney disease, hereditary glomerulonephritis.
Was this article helpful?