Hematuria Differential

IgA Nephropathy
-especially in elderly
Cystitis
-pelvic tenderness? fever?
Plan: CRP, creatinine, ESR,
Pyelonephritis
Glomerulonephritis
Prostate Cancer or Prostatic Hyperplasia
-check PSA, will be elevated.
Penile Carcinoma -pretty much only in uncircumcised
Kidney neoplasm
Idiopathic Hypercalcuria
Trauma
Nephrolithiasis
-most common stone is
plan: retroperitoneal U/S

Microscopic
workup: recent exercise, sexual hx, menstruation, UTI hx? lab workup: ESR, creatinine, CRP, coags.

Gross Hematuria defined as > 1mL blood per L of urine.
-blood clots may be painful to pass
-after lithotripsy, gross hematuria is to be expected. Pt may be d/ced as long as no clots.