01-24-2009, 10:08 AM
You've just discovered that somebody's got 2+ proteinuria. History and physical exam are entirely unremarkable. The urine is otherwise normal.
Which is the BEST thing to do NEXT?
A. bone marrow biopsy, to rule out plasma cell myeloma
B. do a 24 hour urine collection
C. do a urine protein electrophoresis
D. see if the proteinuria goes away while she's lying down
E. proceed directly to renal biopsy
Which is the BEST thing to do NEXT?
A. bone marrow biopsy, to rule out plasma cell myeloma
B. do a 24 hour urine collection
C. do a urine protein electrophoresis
D. see if the proteinuria goes away while she's lying down
E. proceed directly to renal biopsy