Hematuria Flashcards Preview

Step 2 CS - Minicases > Hematuria > Flashcards

Flashcards in Hematuria Deck (5)
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1
Q

Key history in hematuria

A
Amount, duration, +/- clots
Other symptoms (constitutional, renal colic, dysuria)
Point along stream (initial vs. terminal vs. throughout)
Medications
History of vigorous exercise
Trauma
Smoking
Stones
Cancer
Easy bleeding
Skin bruising (purpura)
2
Q

Key physical exam in hematuria

A
Vital signs
Lymph nodes
Abdominal exam
Genitourinary and rectal exams
Extremities
3
Q

65 yo M with painless hematuria
+ heavy smoker
+ works as a painter

A

Bladder cancer
Renal cell carcinoma
Nephrolithiasis
Prostate cancer

Genitourinary exam, UA, urine cytology, BUN/Cr, PSA, CBC, PT/PTT, cystoscopy, US - renal/bladder, CT - abdomen/pelvis, prostate biopsy

4
Q

35 yo M with painless hematuria

+ FHx of kidney problems

A

Polycystic kidney disease
Nephrolithiasis
Acute glomerulonephritis (e.g. IgA nephropathy)

Genitourinary exam, UA, urine cytology, BUN/Cr, PSA, CBC, PT/PTT, US - renal, CT - abdomen/pelvis

5
Q

55 yo M with flank pain and blood in urine without dysuria

+ weight loss and fever over last few months

A

Renal cell carcinoma
Bladder cancer
Nephrolithiasis

Genitourinary exam, UA, urine cytology, BUN/Cr, PSA, CBC, PT/PTT, US - renal, CT - abdomen/pelvis, cystoscopy