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Topic Info
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
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