Clinical Case Database / Category: Patient Management

Microscopic haematuria

Publication details

Bamidele Ajayi, Peter Topham
Foundation Years Journal, volume 5, issue 2, p.5 (123Doc Education, London, March 2011)


A 22-year old man presented to the surgical admissions unit with a 2-week history of abdominal pain. The pain was peri-umbilical and intermittent in nature. He had no history of haematemesis, haematochezia or melaena stool. He also had a 4-month history of a generalized purpuric rash that was mainly on his extremities. He had no urinary tract symptoms. He denied any history of sore throat or joint pains. His medical history was not significant, and he was taking no medication.

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Bamidele Ajayi

ST3 LAT in Nephrology
East Midlands School of Medicine

Peter Topham

Honorary Consultant Nephrologist
John Walls Renal Unit
Leicester General Hospital


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2. Renal Association and British Association of Urological Surgeons. Joint Consensus Statement on the Initial assessment of Haematuria. 2008.
3. R.A. Cohen and R.S. Brown. Microscopic Hematuria. N Engl J Med 2003, 348: 2330–8.
4. P.K. Rao and J.S. Jones. How to evaluate ‘dipstick hematuria’: What to do before you refer. Clev Clin J Med; 75:3:227–33.
5. R.J. Johnson and J. Feehally. Comprehensive Clinical Nephrology. 2nd edn. Mosby.
6. J. Barratt, K. Harris, and P. Topham. Oxford Desk Reference Nephrology, Oxford University Press.
7. E.V. Lerma, J.S. Berns, and A.R. Nissenson. Current Diagnosis and Treatment: Nephrology and Hypertension. McGraw Hill Medical. 2009.


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T​he 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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