HEMATURIA

Question 1

65 yo M presents with painless
hematuria. He is a heavy smoker and
works as a painter.

Answer 1

Bladder cancer
Renal cell carcinoma
Nephrolithiasis
Acute glomerulonephritis
Prostate cancer
Coagulation disorder (i.e., factor
VIII antibodies)
Polycystic kidney disease

Genitourinary exam
UA, urine cytology
BUN/Cr, PSA, CBC, PT/PTT
Cystoscopy
U/S—renal/bladder
CT—abdomen/pelvis
IVP

Question 2

35 yo M presents with painless
hematuria. He has a family history of
kidney problems.

Answer 2

Polycystic kidney disease
Nephrolithiasis
Acute glomerulonephritis (e.g.,
IgA nephropathy)
UTI
Coagulation disorder
Bladder cancer  

Genitourinary exam
UA
BUN/Cr, PSA, CBC, PT/PTT
U/S—renal
CT—abdomen/pelvis
IVP

Question 3

55 yo M presents with flank pain and
blood in his urine without dysuria. He
has experienced weight loss and fever
over the past two months.

Answer 3

Renal cell carcinoma
Bladder cancer
Nephrolithiasis
Acute glomerulonephritis
Pyelonephritis
Prostate cancer

Genitourinary, rectal exam
UA, urine cytology, BUN/Cr,
PSA, CBC, PT/PTT
U/S—renal
CT—abdomen/pelvis
IVP