hematuria

Question 1

how to approach asymptomatic microscopic hematuria?

Answer 1

begin w repeat urinalysis
if condition persists, should get imaging studies of both upper and lower urinary tract. also send urine for cytology and culture

upper tract imaging-IV pyelogram or CT
lower tract imaging-cystoscopy

Question 2

microscopic hematuria

Answer 2

presence of three or more RBCs per HPF on two or more properly collected urinalyses

Question 3

urologic causes of hematuria

Answer 3

tumors
calculi
infections
trauma
BPH

Question 4

urologic hematuria is distinguished from other etiologies (glomerular or reanl) by

Answer 4

absence of proteinuria, dysmorphic RBCs, and erythrocyte casts

Question 5

initial finding of hematuria by dipstick method should be confirmed by

Answer 5

microscopic evaluation of urinary sediment bc the dipstick is limited in specificity

Question 6

presence of RBC casts and dysmorphic RBCs is suggestive of

Answer 6

renal glomerular disease

Question 7

interstitial nephritis is suggested by presence of

Answer 7

eosinophils in urine

Question 8

gross hematuria-approach?

Answer 8

full work up—urinalysis, urine culture, imaging of upper urinary tract by CT scan

Question 9

tender or boggy prostate

Answer 9

diagnosis of prostatitis