Abstract
Miss NB presented to the emergency department with uremic symptoms, acute kidney injury Creatinine 800, and hypertension in March 2020. She was also noted to have anemia albeit normal platelet. NB was supported with hemodialysis as she has solute clearance issues despite making good urine. Plasma exchange was commenced in the intensive care unit to support her while waiting for the renal biopsy report to be available.
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