BOF 91

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BOF: 91

A 63 year old obese female presented to her GP with a complaint of pain in both knees. The GP treated her with paracetamol and NSAIDs.

One month later she was reviewed and noted to have swelling of both ankles. Her BP was 150/100; no other abnormalities were detected clinically

Investigations

Urine

Glucose +

Proteins ++++

Ketones neg

Blood trace

In this patient which of the following lines of action would you adopt?

a)      Treat the patient with high dose steroids

b)      Arrange a renal biopsy

c)      Arrange a MR angiogram

d)     Discontinue NSAID and review

e)      Arrange an IVU

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