Question

A 32-year-old woman is found to have haematuria and proteinuria during a routine exam. She has no symptoms. Renal ultrasound is normal. Which investigation is recommended next to evaluate for possible glomerular disease?

Accepted Answer

Spot urine albumin-to-creatinine ratio (ACR)

Answer

Repeat urinalysis in 3 months

Answer

Serum free light chains

Answer

Renal biopsy

Answer

Antinuclear antibody (ANA) test

Practice question

A 32-year-old woman is found to have haematuria and proteinuria during a routine exam. She has no symptoms. Renal ultrasound is normal. Which investigation is recommended next to evaluate for possible glomerular disease?