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Internal Medicine

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A 60-year-old male with diabetes mellitus and hypertension sees you for routine follow-up. He has no acute health concerns during today's visit. His current medications include metformin (Glucophage), lisinopril (Prinivil, Zestril), and hydrochlorothiazide. He smokes cigarettes anc has a 40-pack-year smoking history. His vital signs and a physical examination are normal. An in-office dipstick urinalysis reveals 1+ blood and trace protein but is otherwise normal.Which one of the following would be the most appropriate follow-up?

  1. Repeat dipstick urinalysis in 3 months

  2. Microscopic urinalysis

  3. Renal ultrasonography

  4. CT urography

  5. Referral for cystoscopy

Mazen Kherallah
Sabri Elmansouri
M I

Microscopic urine analysis

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