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Medocytosis on Instagram: "🧠 ACE inhibitors & Renal Artery Stenosis 🧓 Older man on lisinopril → creatinine shoots up → abdominal bruit heard 🚨 Mechanism: Loss of efferent arteriole constriction 🩸 Normally, Ang II keeps GFR up by squeezing the efferent arteriole ❌ ACE inhibitors block that → ↓ filtration pressure → ↑ creatinine ⚠️ Classic in bilateral renal artery stenosis ✅ Answer: Loss of efferent arteriolar constriction 💬 Tip: If creatinine jumps after starting an ACE inhibitor, think ren
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Medocytosis on Instagram: "🧠 ACE inhibitors & Renal Artery Stenosis 🧓 Older man on lisinopril → creatinine shoots up → abdominal bruit heard 🚨 Mechanism: Loss of efferent arteriole constriction 🩸 Normally, Ang II keeps GFR up by squeezing the efferent arteriole ❌ ACE inhibitors block that → ↓ filtration pressure → ↑ creatinine ⚠️ Classic in bilateral renal artery stenosis ✅ Answer: Loss of efferent arteriolar constriction 💬 Tip: If creatinine jumps after starting an ACE inhibitor, think ren
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