The 84 year old lethargic patient who lives alone accidentally

The 84 year old lethargic patient who lives alone accidentally overdosed their amlodipine (Norvasc) was found by their daughter and taken to your clinic for evaluation. On exam, you found her blood pressure of 80/42 which the daughter says was “about what she found on her home cuff for the last 6 hours before bringing her in to be evaluated”. The patient was then transferred to the hospital for evaluation. During her hospitalization she was also evaluated with CBC, BMP, and a UA. The results reflect normal labs except the UA showed trace WBCs in urine and no leukocyte esterases or nitrites and the BMP showed a creatinine of 1.9 with her normal baseline of 1.2 (normal range 0.5-1.2mg/dL) and BUN of 34, with a baseline of 20 (normal range 10-20 mg/dl). What is likely to cause which of her renal issues? Glomerulonephritis. Pyelonephritis. Chronic kidney disease. Acute tubular necrosis

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