Hi, this is Tom and in this episode, it's a bonus episode and I'm going to be going to be going

through chronic kidney disease. This is taken from my Zero to GP podcast, which is a separate

podcast to this, and you can also find it as a YouTube video on the Zero to GP YouTube channel.

This new podcast is for GP trainees particularly and it involves a YouTube video on the Zero to GP YouTube channel. This new podcast is for GP trainees particularly,

and it involves a question answer explanation format. So I'm going to give you a case,

ask you some questions. Your job is to come up with your best answer and ideally write it down,

and then I'm going to go through an explanation.

If you're a GP trainee, I highly recommend checking out these podcasts. There's also a Zero to

AKT revision course this Sunday on the 8th of March, 26 in London. And you can find out more

information about that by going to zerotofinals shop.com.

There's also the other GP resources like the AKT revision book and the 02GP.com website,

which are worth checking out. But for now, let's get straight into this episode.

So this case is a 72 yearyear-old man, and blood test revealed that his EGFR is 46.

And he had a similar result six months ago.

So it's fairly stable over a six-month period.

So the question here is, what is the diagnosis?

The diagnosis here is chronic kidney disease. So he has a reduced EGFR. Normally it should be

above at least 60 or 90 in young adults, and it's chronically,

meaning more than three months, it's been less than 60, which puts him into the criteria

of chronic kidney disease. The next question is, how do you quantify protein urea?

So how do you tell exactly how much protein will be in his urine?

The answer is you can test the urine creatinicatinine, sorry, urine albumin creatin ratio, or ACR.

...