Patient presentations
MLA Domain 5 · Presentation
Acute kidney injury
5 conditions in Finalist present this way. Work down the list and ask what would separate each one from the next — that discriminator is the exam question.
classic presentation · 4
Acute kidney injury
Hyperkalaemia with ECG changes, refractory pulmonary oedema, severe acidosis, or uraemic encephalopathy/pericarditis → u
Gram-negative & anaerobic organisms
Gram-negative sepsis → LPS-driven shock; Sepsis Six + broad-spectrum cover, source control
Multiple myeloma
Hypercalcaemia, acute kidney injury, or metastatic spinal cord compression → emergencies
Vasculitides
Pulmonary-renal syndrome (haemoptysis + AKI/active sediment) → rapidly progressive glomerulonephritis → emergency immuno
differential of the above · 1