3 Months Of Progressive in Medicine / Internal Medicine — 72yo Woman | Nephrology | SMLE Q#12406

SMLE Question #12406

Medicine / Internal Medicine Nephrology

Objective: OBJ-188

Last updated: February 2026
A 72-year-old woman with a 15-year history of poorly controlled hypertension presents with 3 months of progressive fatigue and generalized pruritus worse at night. She has not been taking her antihypertensive medications. Examination shows diffuse excoriations over the trunk and extremities. Laboratory testing is consistent with advanced chronic kidney disease. Which complication is she most likely to develop?

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