Haematuria

Question 1

What are the causes of haematuria

Answer 1

Trauma BPH prostate cancer bladder cancer kidney cancer UTIs renal stones

Question 2

If a patient presents to the GP surgery, what tests can you do there and then?

Answer 2

Urinalysis and arrange US

Question 3

If the patient is <50 yo what tests would you arrange

Answer 3

Flexible cystoscopy and renal US

Question 4

If the patient is >50 yo what tests would you arrange

Answer 4

Flexible cystoscopy and CT urogram contrast

Question 5

If a patient is found to have a solitary mass on the kidneys what is the most likely diagnosis

Answer 5

Papillary TCC

Question 6

If someone has papillary TCC how long should you follow them up for

Answer 6

10 years via flexible cystoscopy

Question 7

How do you treat papillary TCC?

Answer 7

Resect - 3 months post resection come for further resection to check its all away

Question 8

When should PSA be checked in primary care when a patient presents with haematuria

Answer 8

If >50 and greater than 10 years life expectancy
Between 40-50 with a family history or prostate cancer or of African descent
Abnormal prostate on PR exam

Question 9

Patients less than 30 with macroscopic haematuria Should get what test

Answer 9

US and cystoscopy

Question 10

Old and haematuria in clinic

Answer 10

CT and flex cystoscopy