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Walter Hughes

69y · male · synthetic

Visit prep summary

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

Open flags

Monitormasld

Fatty Liver Index is 78 (60 or above suggests steatosis) from triglycerides 1.2, GGT 28, waist 109 cm and BMI.

3

priority points

  • Score+2 pts

    Fatty Liver Index is 78 (60 or above suggests steatosis) from triglycerides 1.2, GGT 28, waist 109 cm and BMI.

    The Fatty Liver Index: a simple and accu…

  • Sleep screen+1 pt

    STOP-Bang 3 is intermediate; untreated sleep apnea can push blood pressure, glucose and liver fat.

    STOP-Bang Questionnaire: A Practical App…

Urgenthtn

Home BP averaged 169/94 mmHg over 29 days (29 readings), at or above 130/80.

6.5

priority points

  • Threshold+4 pts

    Home BP averaged 169/94 mmHg over 29 days (29 readings), at or above 130/80.

    Hypertension Canada guideline for the di…

  • Symptom+0.5 pts

    1 symptom log in 1 week (shortness of breath ×1); decayed cluster score 0.3.

  • Change point+1 pt

    Home systolic shifted up about 12 mmHg around Aug 15 (2.2 baseline SDs, CUSUM).

    Continuous Inspection Schemes

  • Sleep screen+1 pt

    STOP-Bang 3 is intermediate; untreated sleep apnea can push blood pressure, glucose and liver fat.

    STOP-Bang Questionnaire: A Practical App…

Urgentckd

eGFR 49 on Sep 29 and 47 on Sep 25 are both below 60 mL/min/1.73m², more than 3 months apart (CKD range).

4

priority points

  • Threshold+4 pts

    eGFR 49 on Sep 29 and 47 on Sep 25 are both below 60 mL/min/1.73m², more than 3 months apart (CKD range).

    KDIGO 2024 Clinical Practice Guideline f…

  • Threshold0 pts

    Urine ACR 7.2 on Sep 29 and 8.1 on Sep 25 are both 3 or above mg/mmol, more than 3 months apart (CKD range). Counted 0 of 4 points (layer cap 4).

    KDIGO 2024 Clinical Practice Guideline f…

Urgentt2d

HbA1c 7.4% on Sep 25 is in the diabetes range (6.5 or above).

5

priority points

  • Threshold+4 pts

    HbA1c 7.4% on Sep 25 is in the diabetes range (6.5 or above).

    Diabetes Canada 2018 Clinical Practice G…

  • Sleep screen+1 pt

    STOP-Bang 3 is intermediate; untreated sleep apnea can push blood pressure, glucose and liver fat.

    STOP-Bang Questionnaire: A Practical App…

Lab trends

HbA1c

%

Fasting glucose

mmol/L

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

eGFR

mL/min/1.73m²

Urine ACR

mg/mmol

ALT

U/L

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

AST

Vitals

Home systolic BP

mmHg

Home diastolic BP

mmHg

Weight

kg

Metabolic syndrome screen

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

STOP-Bang screen

Intermediate · score 3 of 8
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).