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Case

Emergency Room Consult: Acute Kidney Injury

A 65-year-old woman presents to the emergency room with a complaint of weakness. She is accompanied by her son.

In the Patient's Words

Clinical Data

Metformin 500 mg twice a day
Lisinopril 20 mg daily
Omeprazole 20 mg daily
Ibuprofen 400 mg twice day as needed

Case Responses

After your watch the video and review the data, you will write a case response.  This represents your assessment and plan for the acute kidney injury consultation (like in real-life). The focus should be placed on the differential diagnosis for the AKI (as opposed to other related diagnoses). You will create the following as part of your response:

1) A Problem Representation:

This is a concise summary statement that incorporates the key findings from the history, physical, and diagnostic tests in order to characterize the acute kidney injury.  It is equivalent to the brief “summary statement” or “one-liner” that we use to communicate about the patient on rounds.

2) A Differential Diagnosis with Justification:

This means a differential diagnosis for the acute kidney injury with data to support a lead diagnosis by using language such as “most likely” or “probably.” Justify why other diagnoses are possible, but less likely. 

3) A Diagnostic Plan with Justification:

You will recommend tests or procedures that aim to increase the certainty of the lead diagnosis and exclude less likely diagnoses. Incorporate data from the case to justify the recommendations.

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