General Medicine · Acute Kidney Injury and Chronic renal failure
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A 72-year-old woman with necrotizing fasciitis has a creatinine of 4.6 mg/dL, rising to 5.0 mg/dL. Ultrasound shows small echogenic kidneys, but after surgery her creatinine is 1.17 mg/dL by postoperative day 4. Which interpretation best fits the reported course?
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