Acute Kidney Failure

An independent 72-year old man , MR. Allan, presented to the emergency department with progressively increasing shortness of breath (SOB) over the past few months .Initially shortness of breath was exertional , but increased to shortness of breath at rest. He had an ongoing cough for one week. My essay will begin with a review of his presenting condition, patient history and symptoms on arrival to Intensive care unit. I will also look at the patient investigations and assessment findings.

MR. Allan had past medical history including obesity, Type 11 Diabetics for 10 years, Hypertension, High cholesterol and mild asthma .

. MR. Allan admitted to our Intensive Care Unit after a MET call from the ward. He was reviewed by our Registered Medical Officer(RMO).On physical examination , he had mild respiratory distress and could only talk in short sentences. His clinical observations were; GCS 15/15 Glasgow coma scale , Temperature 38c, …show more content…
Here I would like to briefly explain the causes renal failure . Pre-renal kidney injury is caused by hypo perfusion of the kidneys caused by volume depletion and renal artery stenosis( Cheung, Talbot , 2008)
Intrinsic kidney injury involves structural damage to glomerulus, vessels, or kidney tubules which can be by prolonged pre- renal causes leading to cell necrosis by ischemia or by infectious agents and toxins that result in inflammation or injury . (ADIS International Ltd, 2009;Cheunget al ;2008; Talbot,2008). Post renal kidney injury is caused by obstruction either from kidney calculi, strictures, blood clots malignancies and benign prostatic