BMJ  2007;334:1273 (16 June), doi:10.1136/bmj.39196.714491.94

Practice

10-minute consultation

Chronic kidney disease

Prabir Kumar Mitra, GP registrar1, Peter R W Tasker, general practitioner2, M S Ell, consultant physician1

1 Queen Elizabeth Hospital, King's Lynn, Norfolk PE30 4ET, 2 St James' Medical Practice, King's Lynn

Correspondence to:P K Mitra mitra_prabir@yahoo.co.uk

The first 150 words of the full text of this article appear below.

A 68 year old man sees you after you sent him a letter saying that the results of blood tests done over the past year to monitor hypertension show that he has chronic kidney disease (CKD). He is worried, as he thought that high blood pressure was his only medical problem.


Useful resources

Department of Health. The national service framework for renal services. Part two: chronic kidney disease, acute renal failure and end of life care. www.dh.gov.uk/publications
Joint Specialty Committee on Renal Medicine of the Royal College of Physicians of London and the Renal Association. Chronic kidney disease in adults: UK guidelines for identification, management and referral. www.renal.org/CKDguide/full/CKDprintedfullguide.pdf
Renal Association's eGFR calculator. www.renal.org/eGFRcalc/GFR.pl


What issues you should cover

  • Explain the terms CKD and estimated glomerular filtration rate (eGFR). To most patients "kidney disease" means dialysis and shortened life expectancy. Explain that CKD is a spectrum of disease, with mild renal impairment at one end and . . . [Full text of this article]

What you should do


Managing chronic kidney disease

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