A 60 yo man comes to ED because of severe, tearing chest pain radiating to hte back. 1. Which diagnosis are you most concerned about? He has a history of HTN and hypercholeteroleamia as well. Two hours later the pain moves to abdomen and mid back and involves both flanks. urinalysi shows gross hematuria. 2. Which potential complicaiton of the initial diagnosis should you be considerding now?

How do you remember renal physiology?
Use the mnemonic, A WET BED: A) maintenance of ACID-base balance; W) maintenance of WATER balance; E) balance of ELECTROLYTES; T) removal of TOXINS; B) control of BLOOD pressure; E) production of ERYTHROPOIETIN; and D) metabolism of vitamin D.