Monday, May 29, 2023
Non-US Physicians - maximum of 1.00 CPD
This educational activity is intended for an international audience of non-US primary care providers (PCPs), nephrologists, and allergists & clinical immunologists.
The goals of this activity are that learners will better understand best practices for evaluation, diagnosis, differential diagnosis, and management of rare complement-mediated kidney diseases and the challenges and limitations of current standard of care.
Upon completion of this activity, participants will:
WebMD Global requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated. Others involved in the planning of this activity have no relevant financial relationships with ineligible companies.
The Faculty of Pharmaceutical Medicine of the Royal Colleges of Physicians of the United Kingdom (FPM) has reviewed and approved the content of this educational activity and allocated it 1.0 continuing professional development credits (CPD).
For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]
There are no fees for participating in or receiving credit for this online educational activity. For information about your
eligibility to claim
credit, please consult your professional licensing board.
This activity is designed to be completed within the time designated on the title page; physicians should claim only those
credits that reflect the
time actually spent participating in the activity. To successfully earn credit, participants must complete the activity online
during the credit
eligibility period that is noted on the title page.
Follow these steps to claim a credit certificate for completing this activity:
We encourage you to complete an Activity Evaluation to provide feedback for future programming.
You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it.
Credits will be tallied
in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print out the tally as well
as the certificates by
accessing "Edit Your Profile" at the top of your Medscape homepage.
*The credit that you receive is based on your user profile.
CPD Released: 7/15/2022
Valid for credit through: 7/15/2023
processing....
The following cases are modeled on the interactive grand rounds approach. The questions within the activity are designed to test your current knowledge. After each question, you will be able to see whether you answered correctly and read evidence-based information that supports the most appropriate answer choice. The questions are designed to challenge you; you will not be penalized for answering the questions incorrectly. At the end of the activity, there will be a short post-test assessment based on the material presented.
 |
Joseph is a 50-year-old financial consultant with a history of hypertension. He is referred to a nephrologist for a mild increase in serum creatinine (sCr) and elevated blood pressure of 148/98 mm/Hg. His medical history and the results of his physical exam and laboratory tests are shown in Table 1.
You note his elevated blood pressure despite adherence to an angiotensin converting enzyme (ACE) inhibitor and diuretic. Analysis of his renal function shows proteinuria, hematuria, and mildly increased sCr.
Table 1. Joseph’s Medical Record
| History | Findings |
|---|---|
| Medical | Controlled hypertension x 15 years, recently became elevated despite treatment |
| Current Medications | Lisinopril 20 mg/d, hydrochlorothiazide 25 mg/d, simvastatin 20 mg/d |
| Social/Occupational | Financial consultant, married, lives with wife and dog; non-smoker, non-drinker; has 2 adult daughters; on Dietary Approaches to Stop Hypertension (DASH) diet and walks 3 times a week |
| Physical exam | Findings |
| Vital Signs | BP: 148/98 mmHg HR: 78 bpm |
| Body measurements | Weight 76 kg, BMI = 24 kg/m2 |
| Extremities | No edema |
| Neck | No distended neck veins |
| Heart | LVEF = 60% |
| Lungs | No rales |
| Abdomen | Soft, nontender |
| CBC | Results |
| Normal | |
| Metabolic Panel | Results |
| FPG | 90 mg/dL |
| HbA1c | 6.8% |
| Lipid panel | LDL: 70 mg/dL; HDL: 35 mg/dL; TG: 155 mg/dL |
| Kidney Panel | |
| eGFR | 55 mL/min/1.73 m2 |
| UACR | 200 mg/g |
| Serum Creatinine | 1.5 mg/dL |
| Urine dipstick | +WBC, +RBC |
BMI, body mass index; BP, blood pressure; CBC, complete blood count; eGFR, estimated glomerular filtration rate; FPG, fasting plasma glucose; HDL, high density lipoprotein; HTN, hypertension; HR, heart rate; LVEF, left ventricular ejection fraction; LDL, low density lipoprotein; RBC, red blood cell; TG, triacylglycerol; UACR, urine albumin-to-creatinine ratio; WBC, white blood cell.
