Woman presents to outpatient dialysis

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A 50-year-old woman presents to the outpatient dialysis center for her routine HD treatment. Today, the patient is sleeping in her dialysis chair when you arrive at the clinic, which is unusual for her. She is usually awake, reading a magazine, or watching television. She has ESKD secondary to hypertension and has been on HD for 5 years. She has a failed AV fistula and graft and is currently dialyzed via central venous catheter. She has an upcoming appointment with the vascular surgeon to reevaluate her HD access. She also frequently leaves HD 30-60 minutes early against medical advice.

Reference no: EM133602626

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