Continued GFR decline on ACEI (reno-vascular disease?
· Family history of kidney disease (e.g. polycystic kidney disease) · Evidence of renal damage (macroscopic haematuria AFTER urology review) · Evidence of inflammatory disease (PCR>100) · A persistent decline in eGFR that is not in keeping with age or degree of comorbid illness. · Evidence of underlying systemic illness (fever, rash, joint pains) · Diabetes and proteinuria (PCR>45) thought not to be nephropathy (i.e. no diabetic retin/neuropathy) 19. 20. 21.
