Haematuria Flashcards
Name all questions in presenting complaint? (8)
- “When did you first notice blood in your urine?”
- “Was this an isolated occasion or is it a regular occurrence?”
- “Did you pass frank blood or was it just a small amount colouring the urine?”
- “Do you get any pain with the blood? Details about the pain?”
- “Is the blood at the start, the end or all the way through the stream?”
- “Do you have any urgency or frequency?”
- “Do you have any hesitancy, poor stream or terminal dribbling?”
- “Have you noticed any weight loss?”
What is the commonest presenting complain of bladder malignancy?
Painless haematuria
What does associated loin pain or ureteric colic suggest?
Suggests that a stone or clot is the cause
What does suprapubic pain associated with haematuria suggest?
Bladder stone
Blood at the end of micturation suggests…?
Bleeding from prostate or bladder base
Bleeding throughout the stream suggests…?
Blood has come from the bladder or above
Bleeding at the start of the stream but with the urine then running clear suggests…?
Urethral lesion
Urgency/frequency is common in what?
UTI
Hesitancy, poor stream and terminal dribbling are symptoms of what?
Obstruction, commonly due to prostatic enlargement.
How can prostatic enlargement cause haematuria?
Dilated veins around the prostate can rupture.
Weight loss + haematuria = ?
Sinister sign
What to ask about specifically in PMH?
Prostatic disease, stones, UTIs, TB, bleeding disorders
What has a tendency to recur?
Stones/UTIs
Haematuria can be a feature of what inherited disease?
PKD - haematuria can occur if there is a haemorrhage into a cyst
Overdose of what can lead to bleeding?
Anticoagulants
