A 60-Year-Old Man Is Hospitalized with Multiple Generalized Tonic-Clonic Seizures

A 60-year-old man is hospitalized with multiple generalized tonic-clonic seizures.  The patient is a heavy alcohol user and has had previous hospitalizations for alcohol withdrawal and alcohol-related seizures.  On the second day of hospitalization, temperature is 37.1 C (98.8 F) , blood pressure is 155/92 mm Hg, pulse is 108/min, and respirations are 14/min.  Examination shows no abnormalities.  Laboratory studies are shown below: Urine microscopy shows white blood cells 2-5/hpf, red blood cells 0-1/hpf, and some epithelial cells.  Which of the following is the most likely cause of this patient's renal dysfunction?

A) Acute interstitial nephritis
B) Glomerulonephritis
C) Hepatorenal syndrome
D) Nephrolithiasis
E) Renal artery stenosis
F) Rhabdomyolysis
G) Urinary tract obstruction

Correct Answer:

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