Haematuria

Question 1

What to think when pt. presents with painless haematuria?

Answer 1

1. Malignancy - bladder or kidney tumour

Question 2

When to ADMIT haematuria:

Answer 2

1. Danger anaemia
2. Refractory pain
3. Passing clots & risk of clot retention

Question 3

General principles of Mx of mild haematuria case:

Answer 3

1. Washout
2. Book for haematuria clinic in 2/52

Question 4

Initial Investigations:

Answer 4

1. FBC
2. U & E
3. Clotting profile

Question 5

Initial Mx:

Answer 5

1. 3-way catheter
2. Washout
3. Irrigation
4. Bleeding stopped - CT urogram + flexible cystoscopy
5. Bleeding persistent - rigid cystoscopy