Geoff (79 years old)

Geoff, 79 years old and not so fit anymore, lives in a nursing home, where he met his third wife. He sometimes brings her a piece of sugar-free cake from the cafeteria, to enjoy on their favourite bench in the garden. He presents with complaints of abdominal pain.

Assessment summary:

• Comorbidities: diabetic nephropathy
• BMI: 28.4
• Blood work:
  • Normal liver function
  • Decreased renal function: eGFR 39 ml/min/1.73 m²
  • Hb: 11.1 g/dl (normal range: 13.6-17.7 g/dl)
• Lab: urinalysis: normal
• Abdominal contrast-enhanced CT:
  • Radiologically indeterminate SRM (1.1 cm) of the left kidney
  • cT1a