Background: Chronic kidney disease (CKD) involves a progressive loss of function over several months to years, characterized by gradual replacement of normal kidney architecture with parenchymal fibrosis. Case presentation: A 68 years old Malay female, admitted to Hospital UniversitiSains Malaysia (HUSM) with complaints of lethargy, nausea, vomiting, low appetite, on and off shortness of breath and chest discomfort. She was diagnosed as advanced chronic kidney disease approaching end stage renal disease (ESRD) with uremic symptom, hyperkalemia, metabolic acidosis as well as hypertension, diabetes mellitus type II, severe hypochromic microcytic anemia and gouty arthritis. Patient was then resuscitated by hemodialysis to remove excess volume that ultimately controlled blood pressure as well as shortness of breath. Conclusion: Chronic kidney disease is a silently progressive disease associated with complications leading to high morbidity and mortality. Therefore, proper management and treatment should be given to patients approaching ESRD.
Keywords: Chronic Kidney Disease, End Stage Renal Disease, Dialysis