Clinical Case Database / Category: Clinical Care
A single episode of visible painless haematuria
Publication details
Hani Ertemi MBBCh MRCS (Eng), Ahmad Rahman MD, MRCS, Faiz Mumtaz MD FRCS (Eng) FRCS(Urol)
Foundation Years Journal, volume 3, issue 5, p.37 (123Doc Education, London, June 2009)
Abstract
A 75-year-old male presented with a single episode of visible painless haematuria and a history of frequency and urgency for 4 months. Two years ago he had a routine medical check-up and was found to have 2 microscopic haematuria. There was no history of UTI. He used to work at a dye factory and smoked 20 cigarettes a day. Examination was unremarkable.
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Authors
Hani Ertemi MBBCh MRCS (Eng)
Urology Department
Chase farm Hospital, The Ridgeway, Enfield, EN2 8JL
Ahmad Rahman MD, MRCS
Royal National Orthopaedic Hospital
Brockley Hill, Stanmore, HA7 4LP
Faiz Mumtaz MD FRCS (Eng) FRCS(Urol)
Department of Urology
Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL
References
1. Mariani AJ, Mariani MC, Macchioni C, et al; The significance of adult haematuria: 1,000 haematuria evaluations including a risk-benefit and cost-effectiveness analysis. J Urol, February 1989, 141(2):350–355.
2. Hofland CA, Mariani AJ; Is cytology required for a haematuria evaluation? J Urol, January 2004, 171(1):324–326.
3. Sarnacki CT, McCormack LJ, Kiser WS, Hazard JB, McLaughlin TC, Belovich DM. Urinary cytology and the clinical diagnosis of urinary tract malignancy: a clinicopathologic study of 1,400 patients. J Urol, November 1971, 106(5):761–764.
4. Khadra MH, Pickard RS, Charlton M, et al; A prospective analysis of 1,930 patients with haematuria to evaluate current diagnostic practice. J Urol, February 2000, 163(2):524.
5. Spencer J, Lindsell D, Mastorakou I; Ultrasonography compared with intravenous urography in investigation of urinary tract infection in adults. BMJ, July 1990, 301(6745):221–224.
6. Grossfeld GD, et al; Asymptomatic Microscopic Haematuria in Adults: summary of the AUA Best Practice Policy Recommendations. Am Fam Physician, March 2001, 63(6):1145–1154.
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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