Module 08: Renal Medicine (Assessment)
A 34-year –old man presents with vague abdominal pain and haematuria. She has a strong family history of “kidney problems”. His aunt recently died suddenly of “brain hemorrhage”. Urinalysis shows: blood+++, protein++, nitrites -negative. Urine microscopy : no organism or casts.
Other investigations
Haemoglobin 16.9g/dl [ 13.5 -17.0]
White blood cells 12.4 109/l [ 3.5 – 10]
Platelet 540 [150-400]
Creatinine 401 umol/l [ 50-120]
Which is the most definitive investigation you would order to confirm the diagnosis?
A. Renal biopsy
B. Ultrasonography of the renal tract
C. Renal angiogram
D. Anti-GBM antibody
E. Urine cytology
A 34-year –old man presents with vague abdominal pain and haematuria. She has a strong family history of “kidney problems”. His aunt recently died suddenly of “brain hemorrhage”. Urinalysis shows: blood+++, protein++, nitrites -negative. Urine microscopy : no organism or casts.
Other investigations
Haemoglobin 16.9g/dl [ 13.5 -17.0]
White blood cells 12.4 109/l [ 3.5 – 10]
Platelet 540 [150-400]
Creatinine 401 umol/l [ 50-120]
Which is the most definitive investigation you would order to confirm the diagnosis?
A. Renal biopsy
B. Ultrasonography of the renal tract
C. Renal angiogram
D. Anti-GBM antibody
E. Urine cytology