There is anaemia. It is not fitting with a particular renal cause. You realise this may not be a job for SuperRenalMan/SuperRenalWoman but rather for the SuperGeneralMedics.
You give the obs and blood results to the on call medicine SHO.
They ask for a crossmatch and come running with their reg.
You slink away into the inky darkness of the EPAU US room and sleep.
You hear the patient survived, but only just.