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MediumNephrologyNSAID-associated AKIau-amcau-racgp

A 72-year-old man presents with acute kidney injury. He was started on high-dose ibuprofen for osteoarthritis 1 week ago. His serum creatinine has risen from 90 to 220 micromol/L. He is mildly dehydrated, and urinalysis shows bland sediment. What is the most likely cause of his AKI?

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