Haematuria

Question 1

Prerenal causes

Answer 1

Anticoagulants
Sickle cell disease
HTN
Dyed urine from beetroot

Question 2

Renal disease

Answer 2

Polycystic kidney disease
Renal cell carcinoma
Abscess
kidney stones / renal colic (painful haematuria)
Vigorous exercise 
Trauma to the kidney 
Glomerulonephritis

Question 3

How painful is the renal colic?

Answer 3

Worse than pregnancy

Question 4

Postrenal causes

Answer 4

Ectopic pregnancy 
Ovarian cyst 
Prostate cancer
Bladder stones
Transitional cell carcinoma of bladder
Endometrial cancer 
Period 
STI
Traumatic catheters infection

Question 5

What are the questions you’d ask about haematuria?

Answer 5

Visible or non-visible?

If non-visible, is it a UTI?

Question 6

If they’re over 50 and have non visible haematuria with no UTI, what do you do next?

Answer 6

Bloods (incl PSA)
BP

then if needed, 2 week referral for urology

Question 7

If younger than 50, and have non visible haematuria with no UTI, what do you do next?

Answer 7

Bloods (incl PSA)
BP
Renal tract USS