A patient with a long history of hypertension and diabetes,…
A patient with a long history of hypertension and diabetes, but no medical care, now presents to the emergency department to be evaluated after a motor vehicle accident. You order a CMP. Here are the results: BUN 19 mg/dL (normal: 6-20 mg/dL) eGFR 38 mL/min/1.73m2 (normal: >60 mL/min/1.73m2) ALT 52 U/L (normal: 7-56 U/L) AST 60 U/L (normal: 5-40 U/L) Alk Phos 153 U/L (normal: 41-133 U/L)Does the patient have kidney disease? ____________. What could explain the normal BUN but low eGFR? ________________________. Is the AST and Alk Phos elevated due to liver problems or non-liver problems? ________________________.