A 3-year-old male is in the pediatric ICU for strep pneumoni…

A 3-year-old male is in the pediatric ICU for strep pneumonia and is on the ventilator. He is receiving IV ampicillin for his pneumonia and is on IV pantoprazole for stress ulcer prophylaxis while on the ventilator. Although he is on day 4 of the antibiotics, you notice he has spiked a fever today and developed a maculopapular rash. You order a CBC, CMP and a UA. His WBC count is 11 and his eosinophil count is 7% (normal 0-5%). His serum creatinine has increased to 1.9. He also has many WBCs in his urine. You are concerned for:

A patient postoperatively is noted to be producing < 400 mL...

A patient postoperatively is noted to be producing < 400 mL of urine daily. The patient's serum BUN to creatinine ratio is noted to be 32. Additionally, the patient's blood and urine testing reveal a reduced fractional excretion of sodium (FENa < 1%). Which of the following is the most likely etiology of this patient's renal failure?

A patient you have treated for several years has a past medi…

A patient you have treated for several years has a past medical history of Sjogren’s and repeated episodes of nephrolithiasis. She presents today with hematuria and states she thinks she passed a stone during the night. She denies any other complaints. You decide to order a UA and a BMP, which returns with a urine pH of 7.0, serum potassium level is 3.2 and hypercalcemic. What is the likely cause of her repeated nephrolithiasis?

A 66-year-old male is seen pre-operatively for clearance for…

A 66-year-old male is seen pre-operatively for clearance for his right total knee replacement. Pre-operative exam includes routine labs and UA. These show mild normocytic normochromic anemia, normal electrolytes, slight elevation in BUN and SCr, and a GFR of 54. Urine is positive for protein. Past medical history includes diabetes, hypertension and chronic kidney disease. What stage is his chronic kidney disease currently?

A 30-year-old female receives a spinal MRI due to back pain….

A 30-year-old female receives a spinal MRI due to back pain. She has no additional symptoms. Her past medical history, social history, and family history are all non-contributory. The results show an incidental finding of a single renal cyst. Which is the correct statement regarding the next step?