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8th July 2024
A 56-year-old kidney transplant recipient presented with dysuria and increased frequency of urination
A 56-year-old kidney transplant recipient presented with dysuria and increased frequency of urination. He has been symptomatic for 2 days. His regular medications include Tacrolimus 3 mg BD, Lisinopril 5mg OD, Aspirin 75mg OD and Atorvastatin 40 mg OD.
Observations:
| Blood Pressure | 131/60 mm HG |
| Heart Rate | 118 /min |
| SpO2 | 96% on RA |
| Temperature | 38,7 ⁰C |
| Urine analysis | 1+ Nitrites, 1+Protein |
Laboratory analysis:
| Haemoglobin | 11.0 g/dl | Sodium | 138 mmol/dl |
| White Blood Corpuscles | 13.2 x 10^6 | Potassium | 5.5 mmol/dl |
| Platelets | 176 x10^6 | Corrected Calcium | 2.32 mmol/dl |
| Creatinine | 182 mmol/dl | Phosphate | 0.9 mmol/dl |
| Urea | 9.8 mmol/dl | CRP | 83.5 mg/l |
| Albumin | 32 mg/l | Glucose | 7.1 mmol/dl |
What is the next step in management?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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