All right, welcome. This is episode 607 of the Divine Intervention Podcasts.

In today's podcast, we're going to continue the rapid review series for the US Emily Step 2, Sikki, and Step 3 exams.

This is going to be series 124.

All right. Let's jump right into it.

So, what if you get a question that says, you know, they give you a veneate about a 32-year-old

IV drug user, and you're told that she has been an inpatient in the hospital for the past two weeks,

and you're told that she's being managed for endocratitis.

And then we're told that her creatin this morning is 3.0, which is up from like 1.0, two days ago.

And we're giving, you know, her urinary sodium is like 45 million equivalents per liter.

We're told that a urinal similarity is 250 milliseconds per kilogram.

And her urine specific gravity is really low, right?

And a serum BUN is 45.

If you see a presentation like this, what should you be thinking about?

What should you be thinking about?

Well, I would really hope you're saying that divine, this person probably has some kind

of intra-rinal aka, some kind of intra-rinal a.k.i. Some kind of intranal acute kidney injury, right?

So the thing is this person is an IV drug user and they were being treated for endocratitis.

So they probably got Vencomycin. And the thing is Vencomycin can destroy a person's kidneys, right?

Remember, Vencomycin is nephrotoxic. vencomycin is nephrotoxic.

Vencomycin is nephrotoxic.

It can cause an intranal acute kidney injury.

And what is another name you may see for intrarenal, aka on your exams?

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