Clinical Case Database / Category: Case Based Discussion
Chronic kidney disease and its complications
Dr S Gopaluni, Dr R Baker
Foundation Years Journal, volume 2, issue 10, p.431 (123Doc Education, London, December 2008)
A 59-year-old Afro-Caribbean gentleman presented with a 3-month history of gradually worsening tiredness, breathlessness, sickness and itching. Five-years ago he was found to be hypertensive by his GP and was given lifestyle modification advice but was lost to follow-up. He was a smoker with a 40-pack-year history. On admission his BP was high at 180/100. ECG showed a left ventricular strain pattern. The chest X-ray was reported as showing mild cardiomegaly. Urine dipstick showed 2 protein. Lab tests revealed sodium 136 mmol/L, potassium 4.5 mmol/L, urea 40.1 mmol/L, creatinine 830mmol/L, haemoglobin 6.6 g/dL, calcium 2.05 mmol/L, phosphate 3.5 mmol/L, and glucose 6.0 mmol/L. An USS of kidneys demonstrated bilaterally small kidneys (bipolar length less than 8 cm with thin cortices) with no evidence of hydronephrosis. He was deemed to have reached end-stage renal disease, the cause of which was uncertain, and he was initiated on haemodialysis.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
|Foundation Years Clinical Cases Database||£29.00||6 months|
|Foundation Years Clinical Cases Database||£39.00||12 months|
Dr S Gopaluni
Specialist Registrar in Renal Medicine
St. James University Hospital
Dr R Baker (Corresponding author)
Consultant in Renal Medicine
St. James University Hospital
1. K/DOQI Clinical Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratification.
2. CG73 Chronic kidney disease: NICE guideline, available at http://www.nice.org.uk/nicemedia/pdf/CG073NICEGuideline.pdf
3. CG34 Hypertension - NICE guideline, available at http://www.nice.org.uk/nicemedia/pdf/CG034NICEguideline.pdf
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.