Case 24: A 65 year old female with ESRD comes for a routine outpatient visit
Written by: Wael Hussein, MBBS,MRCPI Nephrology/GIM Specialist Registrar, Galway University Hospital, Galway, IrelandReviewed by: Elwaleed Elhassan, MBBS, FACP Nephrologist, Denver, Colorado, USA
Case Description
Our patient is a 65 years old lady with end-stage renal disease (ESRD) on hemodialysis 3 times a week.
She is on dialysis for the last 4 months after a progressive course of chronic kidney disease (CKD) secondary to diabetes and hypertension.
Past medical history:
- Diabetic retinopathy for which she received laser therapy
- Transient ischemic attack two years ago.
Medications:
- Amlodipine 10 mg orally once a day,
- aspirin 75 mg orally once a day,
- gliclazide MR 60 mg once a day,
- atorvastatin 40 mg orally once a day
- one-alpha cholecalciferol 0.25 mcg orally once a day.
- intravenous iron sucrose 100 mg every 2 weeks.
The patient feels generally well. She asks whether you think she is fine and whether there is anything you can do for her today.