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A 34-year-old woman complains of increasing urinary frequency. She also reports several urinary tract infections over the past year. She has no prior medical history and is not taking any medications. She denies weight loss. There is a very strong family history of diabetes. On examination she is noted to be obese. Lung, heart and abdomen examinations are unremarkable. A fasting glucose is mildly elevated. The patient expresses concern about renal failure as her father and brother undergo dialysis. Which of the following tests should be conducted to evaluate this patient™s risk for renal failure?

A. Creatinine clearance
B. Renal ultrasound
C. Serum creatinine level
D. Urinalysis
E. Urine albumin level

E?

ee

c?

oh din read the ques properly
its ee

ee

ee

hey why not c??pls explain

Increased urinary protein excretion is the earliest clinical manifestation of diabetic nephropathy.

We usually order albumin to creatinine ratio (Normal Ratio (in general

thanks okt3...