2 doctors weighed in:

51yof. Lost 63lb in 5 mo. Got kenalog (triamcinolone) cerv.Block 7 days before lab. Bun 26h, creat.1.1ok, bun/creat ratio 23.6h, alb 4.6, GFR 56-l. Got kidney prob?

2 doctors weighed in
Dr. Alan Haratz
Internal Medicine

In brief: Probably not

We would need to take a history to assess other medications in use as well as perform a physical exam to assess the state of hydration.
The high bun/creat ratio and the slightly high Albumin suggest volume depletion. A urinalysis would be helpful in screening this patient for renal disease. The patient's current weight would also be needed. Cystatin c testing and a GFR nuclear scan could help.

In brief: Probably not

We would need to take a history to assess other medications in use as well as perform a physical exam to assess the state of hydration.
The high bun/creat ratio and the slightly high Albumin suggest volume depletion. A urinalysis would be helpful in screening this patient for renal disease. The patient's current weight would also be needed. Cystatin c testing and a GFR nuclear scan could help.
Dr. Alan Haratz
Dr. Alan Haratz
Thank
Dr. Garfield Ramdeen
Internal Medicine - Nephrology & Dialysis

In brief: ARF

Has decrease GFR from medication, or dehydration, thus needs to stop nephrotoxic medications, and increase fluid intake.
Re-check laba in 7-10 days.

In brief: ARF

Has decrease GFR from medication, or dehydration, thus needs to stop nephrotoxic medications, and increase fluid intake.
Re-check laba in 7-10 days.
Dr. Garfield Ramdeen
Dr. Garfield Ramdeen
Thank
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