A 44-year-old woman having two children smoked ten cigarettes a day and was overweight. Consultation 1: GP1 The patient saw her general physician (GP1) for knee pain, and he prescribed ibuprofen and advised her to lose weight. The patient consumed ibuprofen for a long time due to its analgesic effect. Consultation 2: GP1 Later that year, she visited GP1 with complaints of itching. The doctor prescribed antihistamines and suggested using a different brand of washing powder.
He also prescribed some blood tests, including renal function. Her creatinine was slightly raised at 138 µmol/L, and her eGFR was 38 mL/min/1.73m2. The doctor documented blood tests as normal and asked her to repeat the tests after three months, which she forgot to undertake. Consultation 3: GP2 Three years later, she consulted GP2 complaining of breast tenderness. His notes remarked on a diagnosis of chronic kidney…
