ACUTE RENAL FAILURE

CORRECT!

The cause of death, as recorded on the death certificate, was listed as

1a Acute renal failure
1b Hypovolaemia
1c Injuries sustained during epileptic seizure

'Acute renal failure' is a term that is used to describe a decrease in renal function that occurs over days or weeks. In this case, the patient's renal failure was caused by acute tubular necrosis (ATN) - this is where part of the nephron structure in the kidney is destroyed, thus preventing the kidney from filtering blood properly and leading to a build-up of toxins in the body which can eventually lead to death. Histologically, this patient's kidneys showed evidence of this.

ATN can be caused by many different things; as the kidney is very susceptible to ischaemic damage. The intramuscular haemorrahage following injury sustained during a grand mal seizure appears to have led to hypovolaemia and hypotension in this case.


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