The Curbsiders Internal Medicine Podcast

#404 Hematuria with Dr. Derek Fine

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Jul 17, 2023
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ADVICE

Hematuria Definition

  • Consider hematuria when finding three or more red blood cells in urine.
  • One instance is enough to prompt a workup.
INSIGHT

Initial Approach to Hematuria

  • Differentiate between urologic and nephrologic causes of hematuria.
  • Gross hematuria and clots suggest a urologic origin, possibly malignancy.
INSIGHT

Hematuria Malignancy Risk Factors

  • Age over 35, smoking, and certain environmental exposures increase malignancy risk in hematuria.
  • Gross hematuria also significantly elevates this risk.
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