Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of long-standing essential hypertension, currently poorly controlled. Reports gradual decline in renal function, nocturia, and mild peripheral edema. No history of gross hematuria, flank pain, or obstructive uropathy symptoms. Current medications include [Medication List].
Clinical Examination Findings
Patient is alert and oriented. Blood pressure is elevated at [BP value]. Skin shows no signs of uremic frost or excoriations. Mild bilateral pitting pedal edema (1+) noted. No signs of acute distress.
Treatment Protocol
1. Optimize blood pressure control with ACE inhibitors or ARBs as first-line therapy. 2. Target BP <130/80 mmHg. 3. Sodium restriction (<2g/day) and protein-controlled diet. 4. Monitor serum creatinine, eGFR, and potassium levels every 3 months. 5. Smoking cessation and weight management.