Topic Info - BotMed Application

TopicName

Hematuria

ClinicalTests

UA - first step (blood or not?);
Urine culture --> treat if (+);
if (-): BP, BUN/creatinine, urine protein, Urine cytology (look for abnormal cells: red cell casts?);

Referral to nephrologist;

ImagingStudies

CT urogram, cystoscopy with biopsy (R/O bladder cancer, <40 y/o - must);

PhysicalExams

Rectal exam

Comment

R/O Bladder cancer and Renal Cell Carcinoma;
Amount, duration, ± clots; associated symptoms (constitutional, renal colic, dysuria, irritative voiding symptoms); point along the stream (initial vs. terminal vs. throughout); medications; history of vigorous exercise, trauma, smoking, stones, cancer, or easy bleeding; skin bruising (purpura).

WebLink

https://www.aafp.org/afp/2013/1201/p747.html | https://www.aafp.org/afp/2014/1015/p542.html