Skill Checkup: A 59-Year-Old Man With a 4-Year History of Non-Dialysis Chronic Kidney Disease Presents With Anemia

Vecihi Batuman, MD, FASN


September 09, 2022

The Skill Checkup series provides a quick, case-style interactive quiz, highlighting key guideline- and evidence-based information to inform clinical practice.

A 59-year-old man in the United States presents with anemia. His height is 5'11" (1.8 m), and weight is 190 lb (86.18 kg; body mass index, 26.5 kg/m2). The patient has a 4-year history of non-dialysis chronic kidney disease (ND-CKD) stage III. Blood pressure is 120/80 mm Hg; respiration is 18 breaths per minute; pulse is 71 beats per minute; temperature is 97.9°F (36.6°C). Hemoglobin (Hgb) is 9.7 g/dL; serum calcium is 10 mg/dL; albumin is 3.8 g/dL; estimated glomerular filtration rate is 55 mL/min; serum ferritin is 89 μg/L%; serum transferrin saturation (TSAT) is 18%; lactate dehydrogenase is 280 IU/L. On physical examination, the skin is slightly sallow.


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