Acute tubular necrosis

Case contributed by Morlie L Wang , 24 Mar 2011

Diagnosis probable

Changed by Daniel J Bell, 20 Oct 2021

Updates to Freetext Attributes

Description was added:

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Presentation was changed:

~~Patient went coronary~~Coronary angiogram 9 hours ~~prior.~~earlier

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Bilateral 'striated nephrogram' was the salient finding.

Differential diagnosis:

Final diagnosis:Acute tubular necrosis. Striated nephrogram, in this case, depicts contrast material trapped in necrosed tubules.

~~-<p>Bilateral '<a href="/articles/striated-nephrogram">striated nephrogram</a>' was the salient finding. Differential diagnosis:</p><ul>~~
+<p>Bilateral '<a href="/articles/striated-nephrogram">striated nephrogram</a>' was the salient finding.</p><p>Differential diagnosis:</p><ul>
~~-<li>hypotension</li>~~
+<li><a title="Systemic hypotension" href="/articles/systemic-hypotension">systemic hypotension</a></li>

References changed:

1. Saunders H, Dyer R, Shifrin R, Scharling E, Bechtold R, Zagoria R. The CT Nephrogram: Implications for Evaluation of Urinary Tract Disease. Radiographics. 1995;15(5):1069-85; discussion 1086. <a href="https://doi.org/10.1148/radiographics.15.5.7501851">doi:10.1148/radiographics.15.5.7501851</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/7501851">Pubmed</a>
1. Saunders HS, Dyer RB, Shifrin RY et-al. The CT nephrogram: implications for evaluation of urinary tract disease. Radiographics. 1995;15 (5): 1069-85. <a href="http://radiographics.rsna.org/content/15/5/1069.citation">Radiographics (citation)</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/7501851">Pubmed citation</a><div class="ref_v2"></div>

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