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Med 2 - Week 49 > Hematuria > Flashcards

Flashcards in Hematuria Deck (11)
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1

What test requirements need to be met in order to diagnose hematuria?

- >3RBC/HPF
- 2x urine analyses with microscopy
- urine collected (10mL min) from midstream, with a clean catch

2

What are the 3 most common causes of hematuria in the ages of 0-20

1. glomerulonephritis
2. UTI
3. congenital anomalies

3

What are the 3 most common causes of hematuria in the ages of 20-40

1. UTI
2. Stones
3. Bladder tumour

4

What are the 3 most common causes of hematuria in the ages of 40-60 (men and women)

men:
1. bladder tumour
2. stones
3. UTI

Women
1. UTI
2. stones
3. Bladder tumour

5

What are the 3 most common causes of hematuria in the ages of 60+ (men and women)

men:
1. BPH
2. bladder tumour
3. UTI

women:
1. bladder tumour
2. UTI

6

What additional lab findings should point you in the direction of the hematuria being a glomerular cause?

1. proteinuria (>1g/24hr)
2. dysmorphic red cells
3. red cell casts
4. elevated serum creatinine

7

What are 3 examples of conditions causing hematuria?

1. IgA nephropathy (Berger's disease)
2. Thin glomerular basement membrane disease
3. Hereditary nephritis (Alport's syndrome)

8

what associated features of hematuria make you concerned for malignancy?

large amounts and painless

9

What are the 5 lab investigations you should consider for the workup of hematuria?

1. U/A and culture
2. Cytology
3. CBC
4. Creatinine
5. INR/PTT

10

What is urinary tract U/S good for and what is it not?

Good for: renal tumours, stones in the kidney, and hydronephrosis

Bad for: urethral stones and tumours and and small/flat renal tumours

11

What is CT IVP good for and what are some cons?

Good for: most sensitive in detecting any GU pathology (tumours and trauma), can do it w/o contrast if necessary.

Cons: expensive, IV contrast reaction, radiation