Clinical Case Database / Category: Clinical Care

Clinical management of acute renal failure

Publication details

Lynsey Webb MBBS MRCP
Foundation Years Journal, volume 1, issue 4, p.191 (123Doc Education, London, July 2007)


A 60-year-old housewife presents to the emergency department with a three week history of cough, breathlessness and lethargy. She also complains of occasional epistaxis. She was previously well and on no regular medications. On examination she is febrile and looks unwell. Auscultation of her chest reveals bibasal crepitations. She also has a widespread purpuric rash. Heart sounds are normal. A Chest radiograph reveals bilateral infitrates. Her sputum is blood stained.

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Lynsey Webb MBBS MRCP

Registrar in Renal Medicine
Royal Devon and Exeter Hospital




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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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