Haematuria

Question 1

Causes of false haematuria?

Answer 1

beetroot, rifampicin porphyria, PV bleed

Question 2

Causes of true haematuria?

Answer 2

General: HSP, Bleeding diathesis
Renal: infarct, tumour, stones, infection, GN, PKD
Ureter: Stone, tumour
Bladder: Ca, stone, infection, exercise
Prostate: BPH, prostatitis, tumour
Urethra: infections, stones, tumour, trauma

Question 3

things to ask in haematuria?

Answer 3

WHere in stream? early urethral, late bladder
painful?
obstructive symptoms?
systemic symptoms?

Question 4

Ix in haematuria?

Answer 4

CYSTOSCOPY
bloods, clotting
urine dip
renal US
CT
renal angio

Question 5

Periaortitis?

Answer 5

Idiopathic, 2o to malignancy, inflammatory AAA

Question 6

What is idiopathic RPF?

Answer 6

autoimmune vasculitis, fibrosal necrosis of vasa vasorum causing bilateral obstruction
associated with asbestos and smoking

Question 7

who tends to be the classic pt with RPF?

Answer 7

male, middle aged, vague pain, incr. bp and chronic retention

Question 8

WHat are the clinical features of RPF?

Answer 8

Bilateral hydronephrosis with medial ureteric deviation

Question 9

Treatment for RPF?

Answer 9

Retrograde stent, uretolysis and immunosuppression if needed