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BOF: 112

A 42 year old male who is known to have ankylosing spondylitis is admitted with a history of worsening breathlessness and swelling of his body.

On examination you note that he has gross oedema of his ankles, his pulse rate is 110 beats per minute, BP 120//80, he has bilateral pleural effusions, there is ascites.

Urine testing reveal proteinuria

In this patient which one of the following investigations would you arrange next?

a)       Pleural aspiration

b)       Paracentesis abdominis

c)       MR angiogram

d)       ECHO cardiogram

e)       Rectal biopsy

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