Abstract
A 7-year-old male was admitted to the pediatric intensive care unit (PICU) after suffering internal injuries after a motor vehicle accident. Specifically, he sustained a liver laceration, from which he hemorrhaged, requiring multiple blood transfusions. His urine output has progressively decreased over the past 4 days, and now, on hospital day 5, his urine output has been less than 5 mL/h. He remains intubated and sedated, requiring ventilator support. You have been involved with his care since hospital day 2, and you have obtained a renal ultrasound which showed normal-sized kidneys with increased echogenicity and poor corticomedullary differentiation, consistent with medical renal disease. His serum creatinine on admission was 0.7 mg/dL and has progressively increased to 4.8 mg/dL at the present time. His serum chemistries at the present time are presented below.
Original language | English |
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Title of host publication | Critical Care Pediatric Nephrology and Dialysis |
Subtitle of host publication | A Practical Handbook |
Publisher | Springer Singapore |
Pages | 87-94 |
Number of pages | 8 |
ISBN (Electronic) | 9789811322761 |
DOIs | |
State | Published - Jan 1 2019 |