Her urine analysis showed excess white cells, but urine culture was negative. The level of urea nitrogen blood (BUN)was 19 mmol/L and creatinine 379 lmol/L. Her condition deteriorated, further investigations showed deterioration of the renal function, as her serum creatinine was >500 lmol/L, and BUN was 25 mmol/L. She also had severe hypocalcaemia (1.7 mmol/L), which explained her tingling and pain sensations in the fingers, the arpopedal spasm, and renal osteodystrophy. Complete blood cell count showed microcytic,hypochromicanaemia (Hb 7 g/L). Also, the biochemistry test revealed mild hypophosphatemia, hypomagnesaemia, but normal electrolytes.
Her urine analysis showed excess white cells, but urine culture was negative. The level of urea nitrogen blood (BUN)was 19 mmol/L and creatinine 379 lmol/L. Her condition deteriorated, further investigations showed deterioration of the renal function, as her serum creatinine was >500 lmol/L, and BUN was 25 mmol/L. She also had severe hypocalcaemia (1.7 mmol/L), which explained her tingling and pain sensations in the fingers, the arpopedal spasm, and renal osteodystrophy. Complete blood cell count showed microcytic,hypochromicanaemia (Hb 7 g/L). Also, the biochemistry test revealed mild hypophosphatemia, hypomagnesaemia, but normal electrolytes.
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