G1 P0 patient presents with blood pressure of 160 / 102 mmHg, 3+ proteinuria, and right upper quadrant discomfort at 36 weeks gestation. Following induction of labor, she delivers vaginally. She had blood loss 1500mL. Her serum creatinine rises from 0.98mg / dL predelivery to  1.42  mg / dL diagnosis: (A) Severe preeclampsia, (B) Post partum hemorrhage, (C) Subcapsular liver hematoma, (D) Acute tubular necrosis
Answer is D. Preeclampsia causes acute tubulas necrosis. This is usually caused by severe obstetrical hemorrhage (HELLP syndrome).