Approach to the patient with renal disease

Jennifer A Fillaus, Troy J. Plumb

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


A 35-year-old man presents with a 1-week history of progressive shortness of breath and an episode of hemoptysis earlier today. For the past 2 days he has had decreased urine volume and dark colored urine. He has no past medical history and takes no medications. Blood pressure is 145/85 mmHg. Pulse is 110 beats per minute. Temperature is 36.8 °C. Pulse oximetry is 87 % on room air. He is anxious and slightly pale. Pulmonary exam reveals bibasilar crackles. The remainder of his exam is unremarkable. His laboratory data is notable for a hemoglobin level of 10.9 g/dL and serum creatinine of 2.7 mg/dL. His chest X-ray shows bilateral pulmonary infiltrates.

Original languageEnglish (US)
Title of host publicationClinical Decisions in Nephrology, Hypertension and Kidney Transplantation
PublisherSpringer New York
Number of pages8
ISBN (Electronic)9781461444541
ISBN (Print)1461444535, 9781461444534
StatePublished - Nov 1 2013

ASJC Scopus subject areas

  • General Medicine


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