Renal Function and Fluid Balance Solution 2

     
   

 

     
     

 

       
     

Again, it is important to look for a post-renal cause: the urinary catheter should be flushed and changed if necessary, before looking for an anatomical problem

       
      Solution        
     

This patient’s left ureter was accidentally ligated intra-operatively. The diagnosis was made 18 hours post-operatively by radiological imaging, by which time the patient’s creatinine had risen to 3.1.