3 Months Of Progressive in Medicine / Internal Medicine — 82yo Woman | Nephrology | SMLE Q#12141
SMLE Question #12141
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
An 82-year-old woman with 20 years of poorly controlled hypertension presents with 3 months of progressive fatigue and severe generalized nocturnal pruritus. She has been poorly adherent to antihypertensives and was previously told her kidney function is reduced. Exam shows dry skin with excoriations without rash; no edema, lymphadenopathy, or organomegaly. Results are consistent with advanced chronic kidney disease due to hypertensive nephrosclerosis. Which long-term complication is most likely with this condition?
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