Egfr/599 Case Studies

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Frank has returned six weeks since the last appointment. A couple of weeks following that review, Frank underwent repeat pathology that revealed renal impairment with an EGFR of 54. I subsequently arranged a renal tract ultrasound, urinalysis and encourage increased oral hydration and repeated his electrolytes. Pleasingly his renal function improved with a repeat EGFR of 87 and the other investigations were unremarkable. Frank subsequently the micophenylate dose to 1gm bd. A couple of weeks ago (two weeks after the micophenylate), Frank stared to notice increase dyspnoea and cough productive of white phlegm. He subsequently ceased mycophenylate ten days ago and although feeling a bit better today, still remains more symptomatic.
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