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26th June 2023
A 58-year-old lady is on her 4th day of admission following a myocardial infarction
A 58-year-old lady is on her 4th day of admission following a myocardial infarction. She has a poor ejection fraction on echocardiogram and developed a period of decompensated heart failure for which she was treated with diuretics. It has been escalated to you that her urine output has reduced, and her serum creatinine and urea have risen, with results triggering AKI stage 2.
Urine osmolality is 1000 (350-1000 mOsmol/kg) and urine sodium at 15mmol/L. Which of the following is the most likely diagnosis?
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