Which condition is characterized by elevated creatinine levels and oliguria in a patient with prior axillary dissection?

Prepare for the Physician Assistant Clinical Knowledge Rating and Assessment Tool (PACKRAT) 2 Test. Use flashcards and multiple-choice questions with hints and explanations. Ensuring you're ready for your exam!

The condition characterized by elevated creatinine levels and oliguria, particularly in the context of a patient with prior axillary dissection, is acute kidney injury. Acute kidney injury (AKI) occurs when the kidneys suddenly become unable to filter waste products from the blood, leading to a rapid increase in serum creatinine levels. Oliguria, or reduced urine output, is a common symptom associated with this condition.

In patients who have undergone axillary dissection, there is a possibility of developing complications, such as compression of the renal structures or the adverse effects of surrounding edema in the case of post-operative complications. These factors can contribute to decreased renal perfusion and function, resulting in acute kidney injury. The prompt identification and management of AKI are crucial, as interventions can prevent further damage to the kidneys and lead to recovery of renal function.

Other conditions, such as chronic renal failure, nephrotic syndrome, and post-renal obstruction, may present with elevated creatinine but do not align as closely with the rapid onset and specific context following surgical procedures like axillary dissection. Chronic renal failure develops over a longer period and typically presents with varying degrees of kidney dysfunction rather than sudden changes. Nephrotic syndrome is primarily marked by heavy proteinuria

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