S. Cr 7.92 and B. Urea 101, high
uric acid, and hyperkalemia — suggestive of chronic
kidney disease.
is it a recent rise in s.cr value?
May I know whether she is diabetic?
Is there any family history of
diabetes?
Family history of renal failure
if married(any pregancy related renal issues)
Next Steps
May I suggest you do an
ultrasound abdomen to assess
kidney size and rule out urinatry tract obstruction
urine routine examination
To do: ANA.s.c3 and s.c4
If the patient is oliguric (urine output less than 400 ml),
has breathlessness due to volume overload, or persistent hyperkalemia,
metabolic acidosis — consider initiation of dialysis.
Health Tips
If the patient is oliguric (urine output less than 400 ml),
has breathlessness due to volume overload, or persistent hyperkalemia,
metabolic acidosis
need to initiation of dialysis