Hematuria

Question 1

In the office, what are 2 things to do with a patient presenting with hematuria?

Answer 1

Urine Microscopy and culture with sensitivity

Question 2

What is the relationship with athletes and hematuria?

Answer 2

Excessive exercise can cause blood in urine due to transient ischemia to the kidneys

Question 3

What is the relationship between NSAIDS and hematuria?

Answer 3

They inhibit cyclooxygenase and really prostaglandins which causes way too much vasoconstriction leading to ischemia.

Question 4

What to always consider with blood in urine and female?

Answer 4

Menstrual cycle.

Question 5

3 things that can cause false positives in urine analysis?

Answer 5

Myoglobin, high alkaline urine (proteus), and tons of vitamin C

Question 6

What number defines hematuria?

Answer 6

3 RBCs per high power field.

Question 7

What is the key to determine whether we will image for kidney trauma or not because hematuria is almost always present in a trauma patient?

Answer 7

If vital signs are stable, observe.

Question 8

African American male presents with hematuria, what are we thinking and what is the big time risk here?

Answer 8

Sickle cell trait. Renal papillary necrosis and renal medullary carcinoma.

Question 9

4 risk factors she mentioned for bladder cancer?

Answer 9

Male, over 35, smoking, and NSAID sue.

Question 10

3 things she wants us to know that RAAS does and what are the 2 damaging effects?

Answer 10

VC, hyperfiltraitorn and inflammation. Direct damage to glomerulus and tubular/interstitial fibrosis.

Question 11

RBC casts or dysmorphic RBCs are found in the urine, what is most likely the diagnosis?

Answer 11

Glomerulonephritis

Question 12

What is the mechanism of damage for hypertensive nephropathy?

Answer 12

RAAS