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EasyNephrologyPre-renal acute kidney injuryca-mccqe1

A 72-year-old woman with severe vomiting and diarrhoea from gastroenteritis is admitted with hypotension and tachycardia. Her creatinine has risen from 90 to 190 µmol/L and urea is markedly elevated. Urine sodium is low and there is no proteinuria or haematuria. What is the most likely cause of her acute kidney injury and initial management?

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