G1 P0 patient presents with blood pressure of 160 / 102 mmHg, 3+ proteinuria, and right upper quadrant discomfort at 36 weeks gestation. Following induction of labor, she delivers vaginally. She had blood loss 1500mL. Her serum creatinine rises from 0.98mg / dL predelivery to 1.42 mg / dL diagnosis
High-Yield Explanation
Preeclampsia causes acute tubulas necrosis. This is usually caused by severe obstetrical hemorrhage (HELLP syndrome).