Clinical Case Database / Category: Clinical Care

Management of acute renal failure

Publication details

David Hamilton MA MB BChir FRCP, Mahzuz Karim MA MB BChir MRCP
Foundation Years Journal, volume 1, issue 4, p.189 (123Doc Education, London, July 2007)


A 73-year-old woman presents with a 2 month history of myalgias, joint pains and bloody nasal discharge and over the last few days has developed a skin rash and dyspnoea with associated haemoptysis. Blood tests show a serum potassium of 7.2mmol/l, urea 44mmol/l and creatinine 1223µmol/l.

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David Hamilton MA MB BChir FRCP

Consultant Nephrolologist
Department of Renal Medicine
Norfolk & Norwich, University Hospital, Colney Lane
Norwich NR4 7UY

Mahzuz Karim MA MB BChir MRCP

Consultant Nephrologist
Department of Renal Medicine
Norfolk & Norwich, University Hospital, Colney Lane
Norwich NR4 7UY


1.  Siddall P, Munglani R. Mechanisms of pain: a Basis for Management: SURGERY 1998; 16:1, 9

2.  Fernando R, Hunt K.D. The Management Of Postoperative Pain : CLINICAL SURGERY IN GENERAL 1999 ; 35, 326

3.  Coleman A.. Postoperative Pain Control : SURGERY 1995 ; 13:9, 201.


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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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