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Supportive Care for the Urology Patient$
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Richard W. Norman and David C. Currow

Print publication date: 2005

Print ISBN-13: 9780198529415

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198529415.001.0001

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The patient presenting with haematuria

The patient presenting with haematuria

Chapter:
(p.108) Chapter 8 The patient presenting with haematuria
Source:
Supportive Care for the Urology Patient
Author(s):

Kamal Mattar

Darrel E. Drachenberg

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198529415.003.0008

The patient presenting with haematuria may have no symptoms and their condition may have been discovered on a routine urinalysis or they may have obvious gross bleeding with clots and difficulty voiding and be experiencing the fear that that entails. Although the latter may require aggressive acute management, both may or may not portend serious underlying disease and both may require an organized investigative approach. This chapter reviews in detail strategies for dealing with both situations. The presence of haematuria, either microscopic or gross, merits evaluation with a thorough history, physical examination, upper tract imaging, and lower tract endoscopy to rule out significant pathological entities that are potentially correctable. Haematuria that is intractable can be a significant challenge to health-care professionals and a variety of specialties may need to be involved including urologists, haematologists, radiologists, and medical/radiation oncologists.

Keywords:   urology, microhaematuria, glomerular bleeding, bladder, gross haematuria

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