Your Name: Deepti Patel

Theme: Acute Renal Failure

OPTION LIST

A	Acute tubular necrosis	I
B	Acute glomerulonephritis	J
C	Acute interstitial nephritis	K
D	Myeloma associated ARF	L
E	Renal obstruction	M
F	Renal artery stenosis	N
G	Wegner’s granulomatous	O
H		P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 65 yr old lady with ischaemic heart disease and peripheral vascular disease presents at a&e with increasing confusion, hiccups and pruritus. She was started on ACE inhibitors a week ago.

2. A 21 yr old man is admitted to hospital with multiple fractures after his motorcycle collided into a lorry on the motorway. There is myoglobin in his urine.

3. A 50 yr old lady with A BMI of 24 who had intermittent pain in the loin, with nausea and vomiting now has a low urine output and urinalysis shows microscopic haematuria.

4. A 45 yr old man with known renal problems has bilateral leg oedema. There is blood in his urine, and urine stix testing also confirms the presence of protein. Microscopy also reveals red cell casts.

5. A 25 yr old man presents to his GP with a cough, nasal discharge and swollen legs. He is extremely dehydrated and is taken to hospital.He has a high cANCA titre

ANSWERS

1. F

2. A

3. E

4. B

5. G