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EINGANG	PATIENT	DOKUMENT	STATUS
28.08.2026 - 13:47	Patscheider, Christopher (*22.09.1995)	Befund	Warte auf Freigabe
28.08.2026 - 13:47	Patscheider, Christopher (*22.09.1995)	Arztbrief (Radiologie)	Warte auf Freigabe
27.08.2026 - 13:31	Hall, Dierk (*20.11.1967)	Arztbrief (Kardiologie) 16.03.2024	Warte auf Freigabe IHRER KOLLEGEN
13.08.2026 - 10:36	Kaiser, Magdalene (*06.01.1953)	Arztbrief (Hämatologie, Onkologie, Innere Medizin) 11.03.2026	Warte auf Freigabe IHRER KOLLEGEN
13.08.2026 - 10:36	Zsigmondy, Susan (*03.01.1931)	Entlassbrief UMG Zentrum Innere Medizin (Pneumologie, Kardiologie) 11.02.2026	Warte auf Freigabe
13.08.2026 - 10:36	Weiss, Ingmar (*29.10.2004)	Dokument CareHome GmbH - Häusliche Kranken- & Altenpflege 18.05.2026	Warte auf Freigabe
13.08.2026 - 10:36	Almberger, Friedrich (*08.08.1965)	Arztbrief (Unfallchirurgische BAG, Orthopädisch) 23.10.2024	Warte auf Freigabe IHRER KOLLEGEN
13.08.2026 - 10:36	Kaiser, Magdalene (*06.01.1953)	Entlassbrief HERZ- UND KREISLAUFZENTRUM (Kardiologie) 12.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Almberger, Friedrich (*08.08.1965)	Entlassbrief Universitätsklinikum Berlin (Angiologie, Kardiologie) 03.06.2026	Warte auf Freigabe
13.08.2026 - 10:36	Krumbiegel, Ann (*17.09.1959)	Befund Orthopädie, Unfallchirurgie Sonographie 03.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Scholz, Canan (*15.01.1965)	Arztbrief (Hals-, Nase-, Ohrenheilkunde) 09.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Redwitz, Beatrice (*08.04.1993)	Dokument MDK Hessen 11.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Krumbiegel, Ann (*17.09.1959)	Dokument Deutsche Rentenversicherung 18.05.2026	Warte auf Freigabe
13.08.2026 - 10:36	Almberger, Friedrich (*08.08.1965)	Entlassbrief Universitätsklinikum Berlin (Angiologie, Kardiologie) 03.06.2026	Warte auf Freigabe
13.08.2026 - 10:36	Hall, Dierk (*20.11.1967)	Entlassbrief Kreiskrankenhaus Bamberg (Unfallchirurgie) 23.02.2026	Warte auf Freigabe
16.06.2026 - 13:32	Kaiser, Magdalene (*06.01.1953)	Arztbrief Hoffmann (Nephrologie und Dialyse) 10.06.2026	Warte auf Freigabe
11.06.2026 - 16:31	Almberger, Friedrich (*08.08.1965)	Arztbrief Kahl (Orthopädisch, Unfallchirurgische BAG)	Warte auf Freigabe IHRER KOLLEGEN
11.06.2026 - 16:31	Almberger, Friedrich (*08.08.1965)	Dokument CareHome GmbH - Häusliche Kranken- & Altenpflege 18.05.2026	Warte auf Freigabe

8c:T5c36,

EINGANG	PATIENT	DOKUMENT	STATUS
28.08.2026 - 13:47	Patscheider, Christopher (*22.09.1995)	Befund	Warte auf Freigabe
28.08.2026 - 13:47	Patscheider, Christopher (*22.09.1995)	Arztbrief (Radiologie)	Warte auf Freigabe
27.08.2026 - 13:31	Hall, Dierk (*20.11.1967)	Arztbrief (Kardiologie) 16.03.2024	Warte auf Freigabe IHRER KOLLEGEN
13.08.2026 - 10:36	Kaiser, Magdalene (*06.01.1953)	Arztbrief (Hämatologie, Onkologie, Innere Medizin) 11.03.2026	Warte auf Freigabe IHRER KOLLEGEN
13.08.2026 - 10:36	Zsigmondy, Susan (*03.01.1931)	Entlassbrief UMG Zentrum Innere Medizin (Pneumologie, Kardiologie) 11.02.2026	Warte auf Freigabe
13.08.2026 - 10:36	Weiss, Ingmar (*29.10.2004)	Dokument CareHome GmbH - Häusliche Kranken- & Altenpflege 18.05.2026	Warte auf Freigabe
13.08.2026 - 10:36	Almberger, Friedrich (*08.08.1965)	Arztbrief (Unfallchirurgische BAG, Orthopädisch) 23.10.2024	Warte auf Freigabe IHRER KOLLEGEN
13.08.2026 - 10:36	Kaiser, Magdalene (*06.01.1953)	Entlassbrief HERZ- UND KREISLAUFZENTRUM (Kardiologie) 12.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Almberger, Friedrich (*08.08.1965)	Entlassbrief Universitätsklinikum Berlin (Angiologie, Kardiologie) 03.06.2026	Warte auf Freigabe
13.08.2026 - 10:36	Krumbiegel, Ann (*17.09.1959)	Befund Orthopädie, Unfallchirurgie Sonographie 03.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Scholz, Canan (*15.01.1965)	Arztbrief (Hals-, Nase-, Ohrenheilkunde) 09.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Redwitz, Beatrice (*08.04.1993)	Dokument MDK Hessen 11.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Krumbiegel, Ann (*17.09.1959)	Dokument Deutsche Rentenversicherung 18.05.2026	Warte auf Freigabe
13.08.2026 - 10:36	Almberger, Friedrich (*08.08.1965)	Entlassbrief Universitätsklinikum Berlin (Angiologie, Kardiologie) 03.06.2026	Warte auf Freigabe
13.08.2026 - 10:36	Hall, Dierk (*20.11.1967)	Entlassbrief Kreiskrankenhaus Bamberg (Unfallchirurgie) 23.02.2026	Warte auf Freigabe
16.06.2026 - 13:32	Kaiser, Magdalene (*06.01.1953)	Arztbrief Hoffmann (Nephrologie und Dialyse) 10.06.2026	Warte auf Freigabe
11.06.2026 - 16:31	Almberger, Friedrich (*08.08.1965)	Arztbrief Kahl (Orthopädisch, Unfallchirurgische BAG)	Warte auf Freigabe IHRER KOLLEGEN
11.06.2026 - 16:31	Almberger, Friedrich (*08.08.1965)	Dokument CareHome GmbH - Häusliche Kranken- & Altenpflege 18.05.2026	Warte auf Freigabe

8d:T5c36,

EINGANG	PATIENT	DOKUMENT	STATUS
28.08.2026 - 13:47	Patscheider, Christopher (*22.09.1995)	Befund	Warte auf Freigabe
28.08.2026 - 13:47	Patscheider, Christopher (*22.09.1995)	Arztbrief (Radiologie)	Warte auf Freigabe
27.08.2026 - 13:31	Hall, Dierk (*20.11.1967)	Arztbrief (Kardiologie) 16.03.2024	Warte auf Freigabe IHRER KOLLEGEN
13.08.2026 - 10:36	Kaiser, Magdalene (*06.01.1953)	Arztbrief (Hämatologie, Onkologie, Innere Medizin) 11.03.2026	Warte auf Freigabe IHRER KOLLEGEN
13.08.2026 - 10:36	Zsigmondy, Susan (*03.01.1931)	Entlassbrief UMG Zentrum Innere Medizin (Pneumologie, Kardiologie) 11.02.2026	Warte auf Freigabe
13.08.2026 - 10:36	Weiss, Ingmar (*29.10.2004)	Dokument CareHome GmbH - Häusliche Kranken- & Altenpflege 18.05.2026	Warte auf Freigabe
13.08.2026 - 10:36	Almberger, Friedrich (*08.08.1965)	Arztbrief (Unfallchirurgische BAG, Orthopädisch) 23.10.2024	Warte auf Freigabe IHRER KOLLEGEN
13.08.2026 - 10:36	Kaiser, Magdalene (*06.01.1953)	Entlassbrief HERZ- UND KREISLAUFZENTRUM (Kardiologie) 12.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Almberger, Friedrich (*08.08.1965)	Entlassbrief Universitätsklinikum Berlin (Angiologie, Kardiologie) 03.06.2026	Warte auf Freigabe
13.08.2026 - 10:36	Krumbiegel, Ann (*17.09.1959)	Befund Orthopädie, Unfallchirurgie Sonographie 03.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Scholz, Canan (*15.01.1965)	Arztbrief (Hals-, Nase-, Ohrenheilkunde) 09.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Redwitz, Beatrice (*08.04.1993)	Dokument MDK Hessen 11.03.2026	Warte auf Freigabe
13.08.2026 - 10:36	Krumbiegel, Ann (*17.09.1959)	Dokument Deutsche Rentenversicherung 18.05.2026	Warte auf Freigabe
13.08.2026 - 10:36	Almberger, Friedrich (*08.08.1965)	Entlassbrief Universitätsklinikum Berlin (Angiologie, Kardiologie) 03.06.2026	Warte auf Freigabe
13.08.2026 - 10:36	Hall, Dierk (*20.11.1967)	Entlassbrief Kreiskrankenhaus Bamberg (Unfallchirurgie) 23.02.2026	Warte auf Freigabe
16.06.2026 - 13:32	Kaiser, Magdalene (*06.01.1953)	Arztbrief Hoffmann (Nephrologie und Dialyse) 10.06.2026	Warte auf Freigabe
11.06.2026 - 16:31	Almberger, Friedrich (*08.08.1965)	Arztbrief Kahl (Orthopädisch, Unfallchirurgische BAG)	Warte auf Freigabe IHRER KOLLEGEN
11.06.2026 - 16:31	Almberger, Friedrich (*08.08.1965)	Dokument CareHome GmbH - Häusliche Kranken- & Altenpflege 18.05.2026	Warte auf Freigabe

8e:T4aa,

16.06.2026 - 13:32

Kaiser, Magdalene (*06.01.1953)

Arztbrief Hoffmann (Nephrologie und Dialyse) 10.06.2026

Warte auf Freigabe

8f:T17bfe,

Universitätsklinikum Frankfurt am Main
Klinik für Nephrologie und Dialyse
Theodor-Stern-Kai 7 · 60590 Frankfurt am Main
Tel.: 069 6301-0 · www.uniklinik-frankfurt.de
An den behandelnden Arzt / die behandelnde ÄrztinFrankfurt am Main, 10.06.2026
Ärztlicher Entlassbrief
Patient/in:Kaiser, MagdaleneGeburtsdatum:06.01.1953
Aufnahme:27.05.2026Entlassung:10.06.2026
Station:NEP-3BFall-Nr.:2026-F-48291
Hauptdiagnose
• Akute-auf-chronische Niereninsuffizienz Stadium III (ICD-10: N18.3)
• Hypertensive Nephropathie (ICD-10: I12.9)
Nebendiagnosen
• Arterielle Hypertonie, medikamentös eingestellt (ICD-10: I10)
• Diabetes mellitus Typ 2 ohne Komplikationen (ICD-10: E11.9)
• Renale Anämie (ICD-10: D63.8*)
• Hyperkaliämie (ICD-10: E87.5)
• Chronische Herzinsuffizienz NYHA II (ICD-10: I50.9)
Anamnese
Die 73-jährige Patientin Magdalene Kaiser stellte sich am 27.05.2026 mit progredienter Leistungsminderung,
UnterschenkelödemensowieeinerlaborchemischnachgewiesenenVerschlechterungdervorbekannten
chronischen Niereninsuffizienz vor. Anamnestisch bekannt sind eine seit ca. 12 Jahren bestehende arterielle
Hypertonie, ein seit 8 Jahren bekannter Diabetes mellitus Typ 2 sowie eine chronische Niereninsuffizienz mit
einem Ausgangskrea tininspiegel von 2,1 mg/dl (2025). Die Patientin berichtet, in den letzten vier Wochen
zunehmend weniger Urin produziert zu haben. Diuretika waren zuletzt eigenständig abgesetzt worden. Keine
Hämaturie,keineDysurie,keineInfektzeichen.Familiär:MutteranNierenerkrankungverstorben.
Nikotinabusus seit 30 Jahren eingestellt. Kein relevanter Alkoholkonsum. Patientin lebt allein, wird ambulant
durch einen Pflegedienst unterstützt.
Befunde
Aufnahmelabor:Kreatinin 4,8 mg/dl, Harnstoff 142 mg/dl, eGFR 11 ml/min/1,73m², Kalium 6,1 mmol/l, Hb
8,2 g/dl, CRP 12 mg/l
Urindiagnostik:Proteinurie 2,4 g/24h, Erythrozyturie, spezifisches Gewicht 1009
Sonographie Nieren:Rechte Niere 9,8 cm, linke Niere 9,5 cm, Parenchymsaum beidseits verschmälert auf
1,0–1,2 cm, keine Harnstauung
EKG:Sinusrhythmus, Zeichen der linksventrikulären Hypertrophie, keine akuten Ischämiezeichen
Echokardiographie:LeichteingeschränkteLV-FunktionEF48%,konzentrischeHypertrophie,kein
Perikarderguss
Rö-Thorax:Leichte pulmonale Stauung, keine Infiltrate, Herzgröße an der oberen Normgrenze
Entlasslabor:Kreatinin 3,1 mg/dl, eGFR 17 ml/min/1,73m², Kalium 4,8 mmol/l, Hb 9,4 g/dl

Klinischer Verlauf
Nach stationärer Aufnahme wurde zunächst eine intensivierte Überwachung mit täglichen Laborkontrollen
eingeleitet. Die Hyperkaliämie wurde initial mit Natriumbikarbonat und Resonium behandelt; unter Therapie
rasche Normalisierung auf 4,8 mmol/l. Die Volumenüberlastung wurde durch eine vorsichtige intravenöse
Diuretikatherapie mit Furosemid 40 mg i.v. 2x täglich behandelt; darunter gute Diurese mit Gewichtsabnahme
von4,2kgimVerlauf.DieNierenfunktionverbessertesichimVerlaufuntero.g.Maßnahmen
erfreulicherweise signifikant (Kreatinin 3,1 mg/dl bei Entlassung). Ein akutes Nierenersatzverfahren war nicht
erforderlich. Die Anämie wurde durch Gabe von Erythropoetin (Darbepoetin alfa) und oraler Eisensubstitution
behandelt. Die antihypertensive Therapie wurde angepasst; der Blutdruck war bei Entlassung stabil bei
138/82 mmHg. Aufklärung der Patientin über die Notwendigkeit einer konsequenten Blutdruckeinstellung,
Ernährungsberatung bezüglich Kalium- und Phosphatreduktion sowie nephrologische Nachsorge erfolgte
ausführlich. Die Patientin ist in gutem Allgemeinzustand und beschwerdegebessert entlassen worden.
Durchgeführte Therapie
• Intravenöse Diuretikatherapie: Furosemid 40 mg i.v. 2x täglich über 5 Tage
• Behandlung der Hyperkaliämie: Natriumbikarbonat 8,4% i.v., Resonium A oral
• Erythropoetintherapie: Darbepoetin alfa 30 μg s.c. wöchentlich
• Orale Eisensubstitution: Eisensulfat 100 mg 1x täglich
• Anpassung der antihypertensiven Medikation
• Ernährungsberatung: Kalium- und phosphatarme Kost
• Nephrologische Aufklärungsgespräche und Schulung
Medikation bei Entlassung
MedikamentWirkstoffDosierungEinnahme
RamiprilRamipril2,5 mg1x täglich morgens
AmlodipinAmlodipin5 mg1x täglich morgens
FurosemidFurosemid40 mg1x täglich morgens
MetforminMetformin500 mg2x täglich zu den Mahlzeiten
Darbepoetin alfaDarbepoetin alfa30 μg s.c.1x wöchentlich (Montag)
EisensulfatEisensulfat100 mg1x täglich mittags
ASSAcetylsalicylsäure100 mg1x täglich morgens
Empfehlungen / Weiteres Procedere
Wir bitten um engmaschige nephrologische Anbindung der Patientin. Laborkontrollen (Kreatinin, Harnstoff,
Elektrolyte, Blutbild) empfehlen wir in 2-wöchigen Abständen. Die Patientin ist für eine ambulante Vorstellung
in unserer nephrologischen Sprechstunde in 4 Wochen terminiert (Termin: 08.07.2026, 10:30 Uhr). Eine
konsequente Blutdruckkontrolle mit Zielwert unter 130/80 mmHg ist dringend anzustreben. Metformin sollte
bei weiter sinkender eGFR (Grenzwert 30 ml/min) pausiert werden – wir bitten um Überprüfung im Verlauf.
Sollte die Nierenfunktion sich erneut verschlechtern, ist eine zeitnahe Wiedervorstellung in unserer Klinik
erbeten. Die Patientin wurde über die Zeichen einer Dekompensation aufgeklärt und ist angehalten, bei
Gewichtszunahme von mehr als 2 kg binnen 2 Tagen umgehend ihren Hausarzt oder unsere Notaufnahme
aufzusuchen.
Mit freundlichen kollegialen Grüßen

______________________________________________________________
Prof. Dr. med. Andreas Hoffmann Direktor der Klinik für
Nephrologie und Dialyse
Dr. med. Sandra Berger Oberärztin

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Abstammung–Teildokument von DC #25

HerkunftDC #25 – Arztbrief Hoffmann (Nephrologie und Dialyse) 10.06.2026

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90:T464,

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92:T236a,

93:T40b,94:T5a2,95:T2474,

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