15th July 2024

A 31-year-old woman attends for her annual review in the rheumatology clinic

A 31-year-old woman attends for her annual review in the rheumatology clinic. She has a diagnosis of SLE with joint involvement, for which she takes oral methotrexate.  Urine dip is positive for protein +++ and blood +. A urine dip 2 months prior at the GP showed both protein and blood; she was treated with nitrofurantoin.  Her blood pressure is 145/90.  Blood tests have been sent to the lab.  What is the best next step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.