A 40-year old woman was recently diagnosed with hypertension.
She has a strong family history of hypertension and chronic kidney disease.
The grid below is a “Risk Map” for chronic kidney disease (CKD) that reflects prognosis, recommended frequency of monitoring, and indications for nephrology referral.
To see case studies, click on a colored box in the grid below.
Since her last follow-up 6 months ago, her hemoglobin A1c remains elevated at 8.9%. A 24-year old man with a history of ureteral reflux and consequent chronic kidney disease presents to clinic for routine follow-up.
Her e GFR is stable at 64 m L/min/1.73 m, and her ACR is elevated at 970 mg/g. Since his last follow-up, the patient notes adherence with his self-catheterization.
His e GFR prior to his AKI was , and he has had persistent albuminuria of 150 mg/g.
Based on the “CKD Risk Map,” you know that: 1) his CKD can be classified as G2/A2; 2) his risk of progression is moderate; and 4) he should be monitored by you at least once per year.
A 62-year old man has a remote history of post-infectious glomerulonephritis.
As a result of this, he was left with chronic kidney disease and proteinuria for which he was been receiving an ACE-inhibitor.