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8 Cards in this Set

  • Front
  • Back
Key History -
Amount
duration
clots

associated Sxs -
constitutional
renal colic
dysuria
irritative voiding Sxs

meds
h/o vigorous exercise
trauma
smoking
stones
cancer
easy bleeding
Key PE -
VS
lymph nodes
abdom exam
GU exam
rectal exam
extremities
65 y/o M
painless hematuria
heavy smoker
works as painter

What is Differential?
Bladder cancer

RCC
nephrolithiasis
acute glomerulonephritis
prostate cancer
coag d/o (factor 8 Ab)
polycystic kidney disease
65 y/o M
painless hematuria
heavy smoker
works as painter

What is Workup?
Genitourinary exam
UA, urine cytology
BUN/Cr, PSA, CBC, PT/PTT
cystoscopy
US - renal/bladder
CT - abdo/pelvis
IVP
35 y/o M
painless hematuria
family h/o kidney problems

What is Differential?
Polycystic kidney disease

nephrolithiasis
acute glomerulonephritis
UTI
coag d/o
bladder cancer
35 y/o M
painless hematuria
family h/o kidney problems

What is Workup?
Genitourinary exam
UA
BUN/Cr, PSA, CBC, PT/PTT
US - renal
CT - abdo/pelvis
IVP
55 y/o M
flank pain
blood in urine without dysuria
weight loss and fever
over past 2 months

What is Differential?
RCC

bladder cancer
nephrolithiasis
acute glomerulonephritis
pyelonephritis
prostate cancer
55 y/o M
flank pain
blood in urine without dysuria
weight loss and fever
over past 2 months

What is Workup?
Genitourinary, rectal exam
UA, urine cytology, BUN/Cr,
PSA, CBC, PT/PTT
US - renal
CT - abdo/pelvis
IVP