A 42-year-old man presents with generalised oedema, frothy urine and serum albumin 22 g/L. Urinalysis shows protein 4+ and no blood. Cholesterol is el...

Question

A 42-year-old man presents with generalised oedema, frothy urine and serum albumin 22 g/L. Urinalysis shows protein 4+ and no blood. Cholesterol is elevated. What is the most appropriate next step in management?

Accepted Answer

Refer for urgent nephrology assessment and kidney biopsy consideration

Answer

Reassure and start a loop diuretic only

Answer

Start long-term high-dose steroids without biopsy

Answer

Treat with antibiotics for presumed infection

Answer

No further investigation is needed as this is likely transient

au-amc MCQ (SBA): Adult nephrotic syndrome evaluation

A 42-year-old man presents with generalised oedema, frothy urine and serum albumin 22 g/L. Urinalysis shows protein 4+ and no blood. Cholesterol is elevated. What is the most appropriate next step in management?