These cases are created from enquiries sent to the Edinburgh Renal Unit’s email clinic. You can take them in order, or randomly, or use the tags to choose by topic and difficulty (A=Learner; B=Practioner; C=Expert).
10 random cases are listed below. Click here to show all Renal Advice Line cases (may be a large number). Via Advanced Search in the right hand menu bar you can narrow the list down by Tags, including Level of Difficulty. Need to learn more? Try OpenMed Renal.
We’d like to receive more cases to consider. You will be credited and will contribute to world medical education. Go to Send a Case.
10 random Renal Advice Line cases
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A man with CKD and a cancelled knee op (1)
Dear Doctor, this 73 year old gentleman had been awaiting a knee operation, but this was cancelled as a result
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Antihypertensives in Persistent Hypertension (7)
This 81 year old gentleman has raised BP, with systolic blood pressure varying between 170-200mmHg. He has type 2 diabetes on insulin
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Decreasing GFR in a Diabetic (6)
I would appreciate your advice about this 78 year old lady with IHD and NIDDM diagnosed 12 years ago. She
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Incidental Discovery of Stage 4 CKD (9)
This 87 year old man has had a marked deterioration in his renal function. 6 years ago urea was 9.6 and
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Anaemia in CKD (11)
This fairly fit 83 year old lady with a history of hypertension usually has an eGFR around 40. She is on
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Proteinuria in Type 2 Diabetic (5)
This 63 year old gentleman is a type II diabetic with treated hypertension. He attended for review 2 weeks ago
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Gout Prevention in CKD (12)
Please advise on dose titration of allopurinol and gout management in this 62 year old man with CKD3 and multiple
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Persistent Microscopic Haematuria (4)
An 81 year old lady has persistent microscopic haematuria and negative MSUs. She is also on warfarin (last INR 3.4)
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ACEi causing a drop in GFR (10)
This 72 year old lady has a previous medical history of hypertension, gout (thought to be thiazide induced) and acute
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Hyperkalaemia in Polycystic Kidney Disease (3)
I was looking for a little advice regarding this 68 year old lady with polycystic kidney disease - either with