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 Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Family Physicians Tags: Conditions Diabetes Endocrinology Nephrology Source Type: blogs