HEMATURIA Flashcards

1
Q

What is defined as the presence of blood in the urine?

A

Hematuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Do both gross and microscopic hematuria require evaluation?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

An upper urinary tract source (kidneys and ureters) can be identified in what percentage of patients with gross or microscopic hematuria?

A

10%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Hematuria

Stone disease accounts for __%

A

40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hematuria

Medical kidney disease accounts for __%

A

20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Hematuria

Renal cell carcinoma accounts for __%

A

10%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hematuria

Urothelial cell carcinoma of the ureter or renal pelvis accounts for __%

A

5%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The lower tract source (bladder and urethra) of gross hematuria (in absence of infection) is most commonly from what?

A

Urothelial carcinoma of the bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Microscopic hematuria in the male is most commonly from what?

A

Benign prostatic hyperplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

With gross hematuria what may help localize the disease?

A

Description of the timing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Initial hematuria, the presence of blood at the beginning of the urinary stream that clears during the stream, implies a source where?

A

An anterior (penile) urethral source

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Terminal hematuria, the presence of blood at the end of the urinary stream, implies a source from where?

A

Bladder neck or prostatic urethral source

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Total hematuria, the presence of blood throughout the urinary system, implies a source from where?

A

Bladder or upper tract source

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hematuria associated with renal colic suggest what?

A

A urethral stone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Irritative voiding symptoms in a young woman may suggest what?

A

acute bacterial infection and associated cystitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In the absence of other symptoms, gross hematuria may be more indicative of what?

A

Tumor

17
Q

Hematuria UA

Proteinuria and casts suggests what?

A

Renal origin

18
Q

Hematuria UA

Bacteriuria and a positive urine culture in the female suggest what?

A

Urinary tract infection

19
Q

What labs would you order for hematuria?

A
  1. UA
  2. Urine culture
  3. BUN and creatinine
20
Q

What imaging would get for hematuria?

A
  1. CT scan of upper tract w/o contrast

2. Cystoscopy

21
Q

What is indicated in patients with gross hematuria or those over 35 years with asymptomatic hematuria?

A

Cystoscopy

22
Q

What are some things you are evaluating for with a CT scan in hematuria?

A
  1. Neoplasm of kidney or ureter
  2. Urolithiasis
  3. Obstructive uropathy
  4. intrinsic kidney disease
23
Q

What are some things you are evaluating for with a Cystoscopy in hematuria?

A
  1. Bladder or urethral neoplasm
  2. Benign prostatic enlargement
  3. Radiation or chemical cystitis
24
Q

True or False

Treatment for hematuria is dependent on the underlying disease process

A

True