TREATMENT
The patient was treated with IV fluids and IV 25% albumin. Renal function gradually improved, with serum creatinine, CK and transaminases trending down (Fig 2). Hypoalbuminemia also improved with albumin supplementation. Urine output was normal throughout this admission. Given that the patient was polyuric and in the recovery phase of AKI, IV fluids were discontinued. Albumin supplementation alone was continued, and renal function, CK and transaminases further trended towards the baseline. ESR also declined. Also, given elevated TSH, his dose of levothyroxine was increased.