Nephrology eConsult
CKD with Congestive Heart Failure
SPECIALTY
Nephrology
CHIEF COMPLAINT
CKD with Congestive Heart Failure
COMMENTS TO SPECIALIST
76 y/o female with CKD, Heart failure seen due to increased weight 10 lbs in 3 months, 6 lbs in 2 months, and 4 lbs in 1 month, and BLE edema. She denies SOB, CP, and no orthopnea; Torsemide increased to 40mg 5 days a week from 20mg 4 days a week. Her kidney function is currently: Crt 2.73, BUn 64, and GFR 16. CL 113. No complaints. Continue to monitor. She remains DNR DNI DNH. The goal is comfort.
MAIN QUESTION
Please assist in the management of this 76 y/o female.
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Medicare plays a vital role in providing healthcare coverage to millions of elderly and disabled individuals. However, the increasing demand for Medicare services poses significant challenges in terms of accessibility, cost, and timeliness. The integration of eConsults has emerged as a promising solution to address these challenges and enhance Medicare services.
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