- A 65yo man presented with frank hematuria. He has no other urinary symptoms. What is the
most appropriate next step that will lead to the dx?
a. IVU
b. US Abdomen
c. Cystoscopy
d. Mid-stream urine for culture
e. Transrectal US
Q. 1. What is the key?
Q. 2. What is the diagnosis?
Q. 3. What are the reasons for this diagnosis?
Q. 4. If there is painless haematuria in young (say 25-30yrs) what diagnosis will come first?
Ans.1. Key is C. Cystoscopy.
Ans. 2. Bladder cancer.
Ans. 3. Age 65, asymptomatic haematuria.
Ans. 4. ADPKD [at the beginning there is very few or no symptoms].