Complicated

Renal & Urinary System


Step 1: View Clinicals

{"ops":[{"insert":"A 50 year old Chinese man presents for a routine evaluation. He has had poorly controlled type 2 diabetes mellitus for 10 years, complicated by retinopathy \u0026 distal symmetric polyneuropathy.\n\nHis labs show an HbA1c of 9.0%, normal electrolytes, and a serum creatinine of 1.6 mg\/dl with an eGFR of 46 mL\/min\/1.73 m2.\n\nSix months ago, the creatinine was 0.8 mg\/dl, with no microalbuminuria. There were no urinary symptoms, and there is no family history of renal disease.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-037_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Urinalysis
2. Urinary Protein/Creatinine Ratio

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