Is There a Difference Between a Serum Creatinine of One and a Baseline of Four?

There's lots of potential contributing factors to this patient's AKI kidney injury. She was hypotensive on arrival, pretty dehydrated, and she's been treated with broad-spectrum antibiotics. Some of the additional studies that we got in the hospital are notable for a high urine sodium. There are muddy brown casts on her urine sediment. And we got a renal ultrasound as well, which shows no hydroenterosis. So putting all this information together, where does this leave us? It's important to know that a acute kidney injury, it's almost better to think of it as a syndrome rather than a diagnosis.