Q:

A patient presents with complete anuria following prolonged hypotension and shock in a patient who bled profusely from a placental abruption. What is the most probable diagnosis?

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A patient presents with complete anuria following prolonged hypotension and shock

in a patient who bled profusely from a placental abruption. What is the most

probable diagnosis?


  1. Post viral infection
  2. Acute papillary necrosis
  3. Acute cortical necrosis
  4. HUS
  5. Renal vein thrombosis

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The key is C. Acute cortical necrosis. [ There are 2 reasons for this acute cortical necrosis. i)

significant diminished arterial perfusion of the kidneys due to spasm of the feeding artery secondary to

profuse bleeding from placental abruption ii) DIC secondary to placental abruption].

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