2 min reading · 15 min station · reminders at 2 min
2 min reading · 15 min station · reminders at 2 min
Instructions
You are a medical student on placement in the renal clinic. Wei Zhang, 62, has kidney disease from diabetes and is here to discuss his treatment options.
1
Take a focused history
2
Explain the treatment options and agree a plan with the patient
Recent bloods
Recent bloods
Item
Value
Reference range
eGFR
12 mL/min/1.73 m2 (18 three months ago)
>60 mL/min/1.73 m2
Creatinine
487 umol/L
60-110 umol/L
Urea
18.5 mmol/L
2.5-7.5 mmol/L
Potassium
4.9 mmol/L
3.5-5.0 mmol/L
Haemoglobin
108 g/L
130-180 g/L
Urine albumin:creatinine ratio
280 mg/mmol
<2.5 mg/mmol
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