Skeleton Long Cases

Question 1

CKD long issues

Answer 1

Electrolytes and fluids
Acid base balance
HTN
CKD mineral and bone disorder
Anaemia
Growth and nutrition
Dialysis

Question 2

T1DM

Answer 2

Med mx
- avoid hypos (top priority for cognitive function)
- improve control (whilst balancing hypo risk): aim HbA1c <7, CGM 80% in range
- monitor disease process

Vaccines
Driving
Alcohol
Foster independence

Question 3

CF

Answer 3

Resp
- airway clearance
- anti-inflammatory: azithromycin
- APBA
- PFTs: FEV1 % predicted

Nutrition and growth
Pancreatic insufficiency
DIOS (salt tablet can prevent)
CFRD
CR related liver disease
Bones
Social / MH impact