Q:

A 27 man presents with abdominal pain. He says his urine is dark. Exam: BP=160/105mmHg. What is the most appropriate investigations?

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A 27 man presents with abdominal pain. He says his urine is dark. Exam: BP=160/105mmHg. What is the most appropriate investigations? 


  1. US
  2. Renal biopsy
  3. CT
  4. Urine protein
  5. Urine microscopy

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The key is A. US. [Abdominal pain, Dark urine (hematuria) and hypertension suggests ADPKD. The sensitivity of ultrasonography for ADPKD1 is 99% for at-risk patients older than 20 years]. 

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