What is the most likely cause of leroy elevated urea, Biology

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What is the most likely cause of leroy elevated urea

Question: Recall Leroy. His laboratory results showed an elevated urea N/creatinine ratio with normal creatinine. His pH was slightly acidic, with increased pCO, and decreased pO, levels. What is the most likely cause of Leroy's elevated urea N/creatinine ratio?

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