Approach to cystic kidney disease Quiz: Ace Your Exams
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A 24-year-old man presents to the emergency department after noticing blood in his urine and experiencing dysuria and urinary frequency for one day There is no penile discharge, and he is not sexually active. He has no significant past medical history. Temperature is 37.0 ºC (98.6 ºF), pulse is 84/min, respiratory rate is 14/min, and blood pressure is 120/75 mm Hg. On physical examination, the patient is well-appearing without abdominal or flank tenderness to palpation. Genital examination is within normal limits. Urinalysis shows blood and leukocyte esterase. Five months ago, a computed tomography (CT) scan was done after the patient was hit by a car while riding his bike. The scan showed normal-sized kidneys with an 8 mm sharply demarcated, smooth-walled cyst in the left kidney without septa or solid components. At that time, he had no significant injuries, and his basic metabolic panel and urinalysis were normal. Antibiotics are started, and a urine culture is sent. Which of the following is the best next step in management?
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