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Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: Gerald Foss
Age: 72 years
Gender: Male
Reason for Appointment
Gerald Foss, 72, booked after receiving his annual review letter: "it says I have chronic kidney disease — nobody ever told me".
Medical History
Past Medical History
Hypertension (12 years). Osteoarthritis of both knees. CKD stage 3a coded for 4 years — eGFR stable in the low 50s.
Drug History
Ramipril 5 mg daily; amlodipine 5 mg daily.
Kidney results (this month)
This month: eGFR 52 (four-year range 50–56), creatinine stable, urine ACR 4 (normal range). BP 134/78. Cholesterol 5.2; no statin currently.