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Marcus Webb

61y · male · synthetic

Visit prep summary

Summarizes the open flags below into a few plain-language bullets for the appointment.

Open flags

Monitorosa

STOP-Bang 7 is high; screen suggests considering formal sleep assessment.

2

priority points

  • Sleep screen+2 pts

    STOP-Bang 7 is high; screen suggests considering formal sleep assessment.

    STOP-Bang Questionnaire: A Practical App…

Monitormasld

Fatty Liver Index is 61 (60 or above suggests steatosis) from triglycerides 1.2, GGT 28, waist 101 cm and BMI.

4

priority points

  • Score+2 pts

    Fatty Liver Index is 61 (60 or above suggests steatosis) from triglycerides 1.2, GGT 28, waist 101 cm and BMI.

    The Fatty Liver Index: a simple and accu…

  • Sleep screen+2 pts

    STOP-Bang 7 is high; screen suggests considering formal sleep assessment.

    STOP-Bang Questionnaire: A Practical App…

Reviewhtn

Home BP averaged 140/87 mmHg over 27 days (27 readings), at or above 130/80.

7

priority points

  • Threshold+4 pts

    Home BP averaged 140/87 mmHg over 27 days (27 readings), at or above 130/80.

    Hypertension Canada guideline for the di…

  • Change point+1 pt

    Home systolic shifted up about 14 mmHg around Sep 3 (2.7 baseline SDs, CUSUM).

    Continuous Inspection Schemes

  • Sleep screen+2 pts

    STOP-Bang 7 is high; screen suggests considering formal sleep assessment.

    STOP-Bang Questionnaire: A Practical App…

Reviewckd

Urine ACR 3.2 mg/mmol on Sep 27 is 3 or above; unconfirmed, repeat test suggested (a repeat at least 3 months later would confirm CKD).

unconfirmed, repeat test suggested

4

priority points

  • Threshold+2 pts · unconfirmed

    Urine ACR 3.2 mg/mmol on Sep 27 is 3 or above; unconfirmed, repeat test suggested (a repeat at least 3 months later would confirm CKD).

    KDIGO 2024 Clinical Practice Guideline f…

  • Trend+2 pts

    eGFR falling 5.97 mL/min/1.73m²/yr (Sen's slope, Mann-Kendall p = 0.003); reaches the 60 mL/min/1.73m² CKD line in about 2.2 years (range 2.0 years to 2.3 years).

    KDIGO 2024 Clinical Practice Guideline f…Nonparametric Tests Against TrendEstimates of the Regression Coefficient …

  • Trend0 pts

    eGFR falling 6 mL/min/1.73m²/yr (Sen's slope, Mann-Kendall p = 0.003), faster than 5 per year (KDIGO rapid decline); sets this flag to at least review.

    KDIGO 2012 Clinical Practice Guideline f…Nonparametric Tests Against TrendEstimates of the Regression Coefficient …

Lab trends

HbA1c

%

Not enough points, or no significant trend yet (Mann-Kendall p = 1.000).

Fasting glucose

mmol/L

Not enough points, or no significant trend yet (Mann-Kendall p = 1.000).

eGFR

mL/min/1.73m²

Projected to cross in about 26 months.

Urine ACR

mg/mmol

ALT

U/L

Vitals

Home systolic BP

mmHg

Home diastolic BP

mmHg

Weight

kg

Metabolic syndrome screen

1 of 5 criteria met
Waist · not metTriglycerides · not metHDL · not metBlood pressure · metFasting glucose · not met

STOP-Bang screen

High · score 7 of 8

Not enough points, or no significant trend yet (Mann-Kendall p = 1.000).

AST

U/L

Not enough points, or no significant trend yet (Mann-Kendall p = 1.000).

GGT

U/L

Not enough points, or no significant trend yet (Mann-Kendall p = 1.000).

Platelets

10^9/L

Not enough points, or no significant trend yet (Mann-Kendall p = 1.000).

HDL

mmol/L

Not enough points, or no significant trend yet (Mann-Kendall p = 1.000).