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Urology

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Question:

How is evaluation of pt w/microhematuria?

Author: H K



Answer:

Hx, PE, renal function test, UT imaging for all pt. Kidney and bladder US ; initial test if RBC <15 CT urogram (best modality evaluated hematuria) Light cystoscopy (for asymptomatic MH 35 yrs or older w/risk factor for malignancy) Urine cytology (not indicated initially) Patients with a negative complete evaluation can be released from care if subsequent urinalyses confirm resolution of MH. Re-evaluation should be considered in patients with persistent/recurrent MH and those with an incomplete initial evaluation


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H K
H K