A 60-year-old man with a 15-year history of type 2 diabetes presents with fatigue, swelling of legs, and frothy urine. | Medibuddy
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30th April 2024

A 60-year-old man with a 15-year history of type 2 diabetes presents with fatigue, swelling of legs, and frothy urine.

A 60-year-old man with a 15-year history of type 2 diabetes presents with fatigue, swelling of legs, and frothy urine. He reports strict adherence to his diabetic medications. His blood pressure is 150/95 mmHg. Physical examination reveals pitting edema in both lower extremities.

Investigations:

Serum creatinine: 180 μmol/L (60-120)

Urinalysis: Protein 3+

Which is the most appropriate next investigation?

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