15th July 2024

A 74-year old retired teacher was admitted after he was found to have renal impairment

A 74-year old retired teacher was admitted after he was found to have renal impairment. He described a 5-month history of lethargy and back pain with constipation and thirst over the past few weeks. Abdominal examination was normal. Blood tests showed:


Haemoglobin	92 g/L (130 – 180)
White cell count	5.4 × 10⁹/L (4.0–11.0)
Platelet count	390 × 10⁹/L (150-400)
Erythrocyte sedimentation rate	117 mm/1ˢᵗ h (<20)
Serum urea	35.4 mmol/L (2.5-7.0)
Serum creatinine	624 µmol/L (60-110)
Serum corrected calcium	2.93 mmol/L (2.20-2.60)
Serum total protein	87 g/L (61-76)
Serum albumin	32 g/L (37-49)
Serum alkaline phosphatase	101 U/L (45-105)

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