MLA Domain 5 · Presentation

Chronic kidney disease

4 conditions in Finalist present this way. Work down the list and ask what would separate each one from the next — that discriminator is the exam question.

classic presentation · 1

A rapid fall in eGFR, accelerated hypertension, or visible haematuria → investigate for a treatable cause (GN, obstructi

recognised feature · 1

Angiodysplasia

Haemodynamic compromise from acute bleeding → resuscitate as GI bleed

differential of the above · 2

Acute kidney injury

Hyperkalaemia with ECG changes, refractory pulmonary oedema, severe acidosis, or uraemic encephalopathy/pericarditis → u

Diabetic nephropathy

Rapidly rising creatinine, haematuria, or absence of retinopathy → consider a non-diabetic renal cause (refer/biopsy)