Optimal fractionation scheme for the relief of gross hematuria
in advanced urinary bladder cancer needs to be evaluated in our setting.
Use of an algorithm as discussed earlier (see Figure 4), will allow a standardized approach to the evaluation of gross hematuria
. Additionally, it may provide nursing staff the ability to educate, support, and counsel children and their parents regarding the need for diagnostic studies and referral to other specialists as needed.
Potential Causes of Gross Hematuria
SIGNS AND SYMPTOMS POSSIBLE DIAGNOSES Hemoglobinuria hemolytic disorder Myoglobinuria, cramping, weakness rhabdomyolysis Abdominal mass Wilms' tumor, hydronephrosis, ectopic kidney (rare) Hemoglobinopathy sickle cell disease, sickle cell trait, sickle cell thalassemia Recent group A strep infection acute glomerulonephritis Recent upper respiratory tract IgA nephropathy infection Dysuria with or without urinary urinary tract infection, frequency hypercalciuria Renal colic nephrolithiasis, ureteropelvic junction obstruction Terminal hematuria/dysuria cystitis, urethritis Hypertension, edema, glomerular disease proteinuria, oliguria, low C3 Source: Dr.
A 65-year-old male was initially referred in 2015 with a presentation of left flank pain and gross hematuria
. Computed tomography (CT) scan of the abdomen and pelvis described a hypervascular enhancing mass (9.1 x 7.2 x 10 cm) within the left kidney in keeping with a RCC and invasion of the mass into the left renal veins.
An 84-year-old woman was referred to our department due to gross hematuria
. Her abdomen was soft and flat, and costovertebral angle tenderness was not present.
A rare case of painless gross hematuria
: primary localized AA-type amyloidosis of the urinary bladder.
came to the hospital from a nursing home in early 1996 with gross hematuria
Few would argue that there are several hard and fast reasons to perform cystoscopy on our patients, such as those with gross hematuria
or in followup of high-risk bladder cancer.
Bladder ultrasound is a diagnostic test that can be used in children with gross hematuria
Memon et al (11) in a series of 120 patients reported incidence of gross hematuria
in 2.5% and stent fracture in 8.3% cases.
A 77-year-old white man with a 50-pack-year history of smoking presented with gross hematuria
. A cystourethroscopy revealed a 10-cm bladder tumor, which extended into the prostate and prostatic urethra.
Teaching included catheter care, observation for gross hematuria
or the passage of large blood clots in the urine, and catheter occlusion.