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Transcript
An 8 year old child is brought to the ED because his mother has noticed that
his urine has had an orange color for the past week that has been getting
darker. On physical exam, the child's blood pressure is 160/100 and you
notice some edema of the lower extremities. Labs reveal a creatinine of
4.3 mg/dL (normal 0.6-1.2 mg/dL). You also learn that a few weeks ago,
the child had a fever and sore throat. What is the most appropriate next
step?
a) Throat culture
b) Urine culture
c) ASO titer
d) Empiric treatment with amoxicillin
e) Referral to a kidney transplant surgeon