Solve exciting clinical cases specific to your field of interest via Docplexus’ clinical case challenge. In today's ‘Nephrology Case Challenge’, join your fellow doctors to discuss and answer today’s question. Clinical Case A 48-year-old woman with a 10-year history of T2DM has a BMI of 27.2 kg/m 2 now, down from 28.4 kg/m 2 one year ago. Her waist-to-hip ratio is 0.82. Physical exam Her primary care physician has referred to the nephrologist because of a recent drop in estimated eGFR from 60 mL/min/1.73 m 2 one year ago to 43 mL/min/1.73 m 2 now.
She has also displayed a recent persistent increase in blood pressure readings taken at home. When measured at this office visit, her blood pressure is 168/101 mm Hg. Labs Total serum cholesterol = 180 mg/dL HDL = 58 mg/dL LDL = 93 mg/dL Albumin-to-creatinine ratio = 61 mg, and previously was 104 mg. Sodium = 134 mEq/L, potassium is 4.2…
