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Question: A 45-year-old man with chronic hypertension presents with shortness of breath, malaise, and headache. The symptoms began 1 - 2 days prior to presentation. The patient recently began working in a factory with solvents. He has produced very little urine over the past 2 days. His physical examination is remarkable for elevated blood pressure and swollen feet and ankles. A small amount of urine is obtained for urinalysis; the following results are obtained: CBC results are within normal limits. BUN and creatinine are elevated. Macroscopic Microscopic 2+ hematuria 1 - 2 broad waxy. casts, 4 - 6 necrotic renal epithelial cells, and 2 - 4 cellular and granular casts Question What is this patient's most likely diagnosis?
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