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Azotemia Ever find yourself in a dilemma differentiating between prerenal and intrinsic renal causes of azotemia? Here's a powerful clinical pearl that simplifies the diagnosis with just one ratio. Key Takeaway: The BUN:Creatinine ratio is your best friend here. ✅ BUN:Creatinine Ratio > 20:1 This strongly suggests a Prerenal cause. Think dehydration, heart failure, or any condition reducing blood flow to the kidneys. The kidney itself is fine and is actively reabsorbing urea. ✅ BUN:Creatinine Ra
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