Which investigation should be avoided in a proven case of renal papillary necrosis –
Correct Answer: Urine acidification test
Description: Urinary acidification ability may be evaluated by an acidification test or maximum urinary pCO2 assessment with alkaline urine. The maximum urinary pCO2 test using acetazolamide and sodium bicarbonate is an easy test to confirm the lack of urine acidification in distal renal tubular acidosis in children Ref Harrison20th edition pg 234
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