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Flag this Question Case-3: Patient History P.W. is 23 years old. He was the vict

ID: 91786 • Letter: F

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Case-3: Patient History

P.W. is 23 years old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. P.W.’s vital signs and hematocrit suggest that he has had a blood loss of about 2500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium.

Analyze this case study and answer the next four questions that follow.

Case-3: Question-1

What type of renal failure is P.W. likely developing? (select all that apply)

A) Prerenal acute renal failure

Explanation / Answer

In Prerenal acute renal failure, symptoms are same as that observed in PW's urine output. Other options are incorrect.
Answer: Option A