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Medicine Kidney 15990b43

True about acute tubular necrosis -

A
Urine specific gravity > 1.020
B
Urine osmolality > 300 mosmoles/kg
C
Urine Na< 1Omeq/L
D
Blood urea nitrogen :plasma creatinine ratio < 20
High-Yield Explanation
. A blood urea nitrogen (BUN)/creatinine ratio (BCR) >20 (0.081 in international unit) is used to distinguish pre-renal azotemia (PRA) and acute tubular necrosis (ATN). However, there is little evidence that BCR can distinguish between these two conditions and/or is clinically useful. Ref Harrison20th edition pg 278

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