A 63-year-old female attends a GP clinic for routine yearly bloods. | Medibuddy
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8th February 2024

A 63-year-old female attends a GP clinic for routine yearly bloods.

A 63-year-old female attends a GP clinic for routine yearly bloods. Her creatinine is 190 micromol/l on a background of a gradual rise over recent years. The patient is asymptomatic. Past medical history includes gastro-oesophageal reflux disease. The GP sends for further bloods and urine testing. Urinalysis shows a low-grade proteinuria. Urinary sodium is raised at 44 mmol/l.

What is the most likely diagnosis?

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