Can a Very High Creatinine Level Predict Kidneys Chronicity?

Isolated serum creatinine cannot differentiate acute from chronic kidney diseases and other clinical parameter that could assist in differentiating acute from chronic kidney disease at early stage is still missing. Renal sonography is mandatory for any patients presentwith any degree of renal impairment; accordingly further intervention will be decided.

We are presenting here unusual case of severe acute kidney injury where the clinical manifestations are not matching with his biochemical profile.