Rosh Review MyEMCert Question

A 42-year-old man presents to the emergency department after a motor vehicle collision. He has no medical problems. He sustained a crush injury to his left leg and a prolonged extraction time. He is agitated and reporting significant pain. His left leg is mottled with significant ecchymoses and gross deformity below the left knee. Pulses are intact. Which of the following is a complication of this injury?

1. Acute tubular necrosis
2. Membranoproliferative glomerulonephritis
3. Renal papillary necrosis
4. Renal vein thrombosis

References

1. Counselman FL. Rhabdomyolysis. In: Tintinalli JE, Ma OJ, Yealy DM, et al., eds. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. 9th ed. McGraw-Hill; 2020:(Ch) 89. https://accessmedicine.mhmedical.com/content.aspx?bookid=2353&sectionid=204498760

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Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter/X: @srrezaie)