Question 499 · LEK · Acute kidney injury
A 62-year-old male presented at the Emergency Department due to jaundice, which appeared few days after an episode of diarrhoea. Laboratory tests revealed decreased kidney function with creatinine level of 4.34 mg/dL (N 0.52-1.2 mg/dL), thrombocytopaenia 34 G/L (N 150-400 G/L) and anaemia. Indicate the most likely diagnosis:
- A. cholestasis.
- B. Gilbert’s syndrome.
- C. cholecystitis.
- D. IgG4-related disease.
- E. haemolytic-uremic syndrome.
Hint
Link a recent diarrhoeal illness with kidney failure, low platelets and anaemia; the jaundice here comes from red cell destruction.
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