MKSAP: 59-year-old woman with type 2 diabetes mellitus and hyperlipidemia
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 59-year-old woman is evaluated during a routine follow-up visit. She was recently diagnosed with type 2 diabetes mellitus and hyperlipidemia. She feels well. Medications are metformin, atorvastatin, and aspirin.
Physical examination findings and vital signs are normal. BMI is 27.
Laboratory studies reveal a serum creatinine level of 0.9 mg/dL (79.6 µmol/L), an estimated glomerular filtration rate of >60 mL/min/1.73 m2, and normal urinalysis results.
Which of the following is the most appropriate diagnostic test to perform next?
A: 24-Hour urine collection for protein
B: Kidney ultrasonography
C: Spot urine albumin–creatinine ratio
D: No additional testing
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Source: Kevin, M.D. - Medical Weblog - Category: Family Physicians Tags: Conditions Diabetes Endocrinology Nephrology Source Type: blogs
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