Episode 450: Schema Episode – AKI and 20 questions
Mar 14, 2026•56 min
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Summary
This schema episode tackles a challenging AKI case in a 38-year-old man presenting with abdominal pain and malaise. The discussion progresses from initial diagnostic approaches—including the utility of urinalysis and bladder scans—to interpreting strikingly abnormal labs like a creatinine of 24. The team navigates the differential for profound kidney injury, considering acute vs. chronic processes and the significance of findings like anemia, thrombocytopenia, and schistocytes, eventually leading to a diagnosis of complement-mediated thrombotic microangiopathy and its management.Episode description
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