A 28-year-old woman presents to her physician complaining of abdominal pain. A urinalysis shows 8 RBCs with no WBCs or protein, and no dysmorphic cells or casts. She is eventually diagnosed with gastroenteritis and is sent home. A urine culture comes back negative several days later. What should be done next in the workup of this patient with hematuria?Ask StudybuddyGroup of answer choicesCystoscopyCT scan of the abdomen and pelvisRepeat urinalysis in a few daysTransvaginal ultrasoundReassurance
Question
A 28-year-old woman presents to her physician complaining of abdominal pain. A urinalysis shows 8 RBCs with no WBCs or protein, and no dysmorphic cells or casts. She is eventually diagnosed with gastroenteritis and is sent home. A urine culture comes back negative several days later. What should be done next in the workup of this patient with hematuria?Ask StudybuddyGroup of answer choicesCystoscopyCT scan of the abdomen and pelvisRepeat urinalysis in a few daysTransvaginal ultrasoundReassurance
Solution
The next step in the workup of this patient with hematuria should be to repeat the urinalysis in a few days. Hematuria can sometimes be a transient finding, and it's important to confirm whether it's persistent or not. If the hematuria persists, further investigation will be needed to determine the cause.
Similar Questions
32-year old Mrs. McBride presents with left flank pain, fever, nausea and malaise. Her BP = 132/75. CBC shows 21, 000 WBC count. Urine sample is pale yellow in color. Urine reagent strip and microscopic examination of urine revealed free standing RBCs and WBCs, and three different types of urinary casts.The first type of urinary cast seen in the patient's sample is called a mixed cellular cast. This type of cast contains both red blood cells (RBCs) and white blood cells (WBCs). RBCs are usually round and have a reddish color, while WBCs are larger and can have different shapes. The presence of mixed cellular casts suggests that there might be inflammation or infection in the urinary system.The second type of urinary cast is called a granular cast. Granular casts are made up of tiny particles that look like grains. These particles can be different colors, such as yellow or brown. The presence of granular casts can indicate kidney damage or certain medical conditions.The third type of urinary cast seen in the patient's sample is a WBC cast. This type of cast is made up of white blood cells. White blood cells are part of the body's immune system and help fight off infections. The presence of WBC casts suggests that there might be an infection or inflammation in the urinary system.The fourth and final type of urinary cast is an epithelial cell cast. Epithelial cells are cells that line the urinary tract. When these cells are shed into the urine and form casts, it can indicate damage or inflammation in the urinary system.
A doctor suspects a patient to be suffering from diabetes mellitus. Which procedure will help confirm this? A. urinalysis B. catheterization C. hemodialysis D. lithotripsy
A 25-year-old, 220-kg female presents to the emergency department with three hours of acute-onset right lower quadrant pain. She describes the pain as mild and reports persistent nausea and vomiting. There is moderate diffuse tenderness on exam. Laboratory studies reveal a white blood cell count of 17,000 and a negative urine hCG. She is too heavy to fit onto the CT table. Which of the following diagnostic tests would be most helpful in finding the cause of this patient’s abdominal pain?Question 5Select one:a.Diagnostic laparotomyb.Abdominal plain filmc.Diagnostic laparoscopyd.Diagnostic peritoneal lavagee.Abdominal ultrasound
A 57-year-old man presents to his physician for his annual examination. He has a history of hypertension, chronic obstructive pulmonary disease (COPD), and benign prostatic hyperplasia (BPH). On examination, there is hyper-resonance to percussion of both lung fields and a diffusely enlarged, nontender prostate on rectal examination. His blood work is unremarkable, but urine studies show 12 RBCs per high power field. There are no dysmorphic RBCs or RBC casts, and there are no other cells or protein. He denies any fevers, flank or groin pain, episodes of gross hematuria, or dysuria. A repeat urinalysis 1 week later confirms the presence of microscopic hematuria, and his urine culture is negative. He elects to undergo further workup with a CT scan of the abdomen and pelvis with and without contrast, which is unremarkable. What is the next step in management?
Parmi les étiologies des hématuries :ALes tumeurs bénignes urologiques ne se manifestent jamais par une hématurie.BLa maladie de Berger est la cause la plus fréquente des hématuries macroscopiques glomérulaires récidivantes.CLes infections urinaires à germe spécifiques restent exceptionnelles dans notre paysDUn dosage négatif des ASLO exclu le diagnostic de GNA post-infectieuse.EL'hématurie d'effort est un diagnostic d'exclusion.
Upgrade your grade with Knowee
Get personalized homework help. Review tough concepts in more detail, or go deeper into your topic by exploring other relevant questions.