Renal Assessment:

T/c AKI III prerenal from 1)GI losses (Vomiting, Upper GI bleeding), 2)Shock, intrinsic sec to Sepsis (t/c Mod-Severe Leptospirosis), r/o post renal causes

Severe Metabolic Acidosis from AKI

Hyponatremia, Profound, Chronic, Symptomatic, Hypovolemic, prob from GI losses

Hypochloremia prob from Vomiting

Hypocalcemia

→

AKI III from 1) Intrinsic from Infection (Leptospirosis Moderate-Severe) 2) Prerenal from GI Losses from Vomiting with Shock, contributory with Secondary Metabolic Acidosis, Hyponatremia, Hypocalcemia, in Uremia

Hyponatremia, Profound, likely Chronic, Hypovolemic, from GI Losses

Hypokalemia prob sec to GI Losses, rule out Salt Wasting Tubulopathy

→CKD?

• Dec 5 TRANSFER TO MICU
• Dec 16 TRANSFER FROM MICU
• Dec 17
• Dec 18
• Dec 19
• Dec 21