David understood the problem. Our patient had had bilateral above the knee amputations, causing his creatinine to drop precipitously.
I am a big fan of eGFR, but I do know the times when it does not work. So today's question to ponder – when should you not use the GFR estimation equations.
Like all laboratory tests, we must understand how to interpret the tests. We do not teach that well in most medical schools. I believe that ward attendings have the responsibility of teaching laboratory test interpretation, but too many are not fully versed themselves. So I am also asking for opinions from the readers about that questions.
