HealthPathways Melbourne case study – Incidental finding of reduced eGFR leading to chronic kidney disease diagnosis

George, 66, is a retired bank clerk who rarely attends his regular GP. He is doing so today for a review of his blood pressure, which was checked for the first time in this practice a month ago when he saw a nurse to have a vaccination.

He is otherwise well but the blood pressure reading was 168/106. At that time the nurse had a chat to his GP and some initial hypertension investigations were performed. These were specified on the HealthPathways Melbourne Hypertension pathway. Lifestyle advice was also provided.

His blood tests were all normal except for his eGFR, which was 48. A repeat arranged by the practice nurse by telephone a few days later was 47.