Hematuria DSA Flashcards
What confirms the diagnosis of gross hematuria?
Microscopic hematuria noticed? diagnosed via?
routine tests for micro?
any correlation with bladder cancer?
what are the two types of hematuria?
what are the features of either? usually how many red blood cells present?
Differential considerations of Hematuria
big three for this lecture?
think about it what else?
Diagnostic approach micro hematuria-what imaging?
risk factors for bladder cancer include?
5 (just know them)
if one episode of gross hematuria what shuld we perform on patient? (3) unless? (4) in these cases why would you consider further eval?
Microscopic hematuria- one time then do what? additional only if? but? which means? especially if?
cancer vs common lesions
micro vs gross
what was the big difference in number between the two?
with micro there is a much higher rate of no source found
gross has very high UTI
prostatic hyperplasia is highest for micro
urologic cancer next for gorss
Hematuria in patients receiving what shuld not be attributed just to that cause?
blood in urine can cause? even in absecence of?
in older men with BPH symptoms (name them) with hematuria, what should happen?
importnatn to help define diagnosis more accurately?
know where cancers are
know where other big two are
alarm symptoms with hematuria
4
a- particularly?
c- suggests?
SH-
FH- of what?
Urine dipstick + for blood. micro exam does not show RBC whats on differential?
macroscopic hematuria is always what?
mico can be?
transient causes are? 2 main here. resolve how long?
what cuases of micro often seen in women? why?
All patinents with hematuria should have what performed? no matter?
differential diagnosis of hematuria divided into?
micro present when? (min requirements)
macro you see what grossly? micro?
due to what it can be better to consider what? (counter of first quiestion above)
what is seen to differentiate between the two? (5)
these abnormalities not seen in? but can be in?
visible blood clots tell us?
Renal cell carninoma
essentials to diagnosis (4)
general considerations- percen adult cancers?
Demographics- peak age ranger? gender?
cause? risk factor? familial? association to?
here says cig smoking also obesity according to lightyear
Renal cell
signs symptoms- in 60? in 30? in 10-15 (bad sign) (triad) in 20-30?
diff diagnosis-5 others
lab tests- often seen? can also get picked up? blood?
Renal cell
imaging- most vaulable tests? mass is seen on? check where for metastases? bone for? doppler for?
prognosis- best? middle? bad? (spine) solitary metastases?
when to refer? 1 refer to who in what circumstance?
IgA Neph
deposition where? inciting cause?
renal-limited? aka? secondary to? (4)
most common what? especially where?
age groups? Gender?
see gross hematuria when?
Urine color?
IgA nephropathy
can present along what spectrum?
can also be present? level of proteinuria?
type of hematuria most common?
staining thats postitive? usually normal though?
need to do what to diagnose? see what?
immunofluorescence shows?
Key Points (berger)
what is uncommon with intrnisic kidney disease? commonly seen where? as well as?
Benign condition? even if?
Gross hematuria happens when?
IgA work up
suspected upon? strongly point to the diagnosis?
what has a low specificity? diagnosis is confirmed via?
IgA work up
classifaction name? stands for?
prognosis good when? when do we biopsy?
Lab tests? in urinalysis?
may be elevated? IgA?
MSK aka?
common? severe?
contract when? presents when?
caused by? chromosomes?
see what in the kidney? where?
Presents with what? 3
MSK
common abnormalities are?2
ct shows?3 location? appearance? and?
associated with?
Caused by what malformation? AND?
severe? diagnose often due to?
MSK
Used to be diagnosed via? replacement?
associated with what stones?
what causes nidus for stone formation?
DIfference in treatment of stones?
MSK problems with what vital kidney function?
increased frequency of?
