Q:

A 30 year old man complains of vague pain in the loin with BP 140/90mmHg. He is found to have proteinuria and hematuria. What is the investigation to confirm the diagnosis?

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A 30 year old man complains of vague pain in the loin with BP 140/90mmHg. He is found to have

proteinuria and hematuria. What is the investigation to confirm the diagnosis?


  1. Abdominal US
  2. ANCA
  3. ANA
  4. Urine microscopy and culture
  5. Stool culture

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The key is A. Abdominal US. [The likely diagnosis is ADPKD for which US is diagnostic investigation].

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