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A 40-Year-Old Woman Presented to the Emergency Department Due to Bloody

Question 386

Multiple Choice

A 40-year-old woman presented to the emergency department due to bloody vomiting. The patient was resuscitated, and she underwent upper gastrointestinal endoscopy, which shows bleeding gastroesophageal gastric ulcer. While she was hospitalized, the patient started having decreased urine output. Serum creatinine rises to 3.2 mg/dL from a baseline of 1.3 mg/dL. Microscopy reveals patchy epithelial necrosis of the tubules, tubulorrhexia, and intratubular casts. One week later, urine output significantly started increasing and serum creatinine levels declined. Over the next few days, this patient is at the highest risk for which of the following complications?


A) Hyperphosphatemia
B) Hypokalemia
C) Metabolic acidosis
D) Urinary protein loss
E) Volume overload

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