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==Medical Therapy==
==Medical Therapy==
* Older patients with transient hematuria should be evaluated for urinary tract cancers
The initial evaluation of patients presenting with gross hematuria is 3-fold:<ref name="pmid27261791">{{cite journal| author=Avellino GJ, Bose S, Wang DS| title=Diagnosis and Management of Hematuria. | journal=Surg Clin North Am | year= 2016 | volume= 96 | issue= 3 | pages= 503-15 | pmid=27261791 | doi=10.1016/j.suc.2016.02.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27261791  }}</ref>
* Urologic consult if necessary
* Assess hemodynamic stability
* Treat underlying etiologies
* Determine the underlying cause of hematuria (same for gross hematuria/ microscopic hematuria/ asymptomatic hematuria).<ref name="Pan20062" />
* Increase hydration (stones)
* Ensure urinary drainage.
 
===Acute Pharmacotherapies===  
* Antibiotics (UTI)
* Analgesics (stones)


==References==
==References==

Revision as of 05:12, 30 January 2017

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Steven C. Campbell, M.D., Ph.D.

Overview

The treatment of hematuria is driven by the underlying pathophysiology and is in large part conservative. .

Medical Therapy

The initial evaluation of patients presenting with gross hematuria is 3-fold:[1]

  • Assess hemodynamic stability
  • Determine the underlying cause of hematuria (same for gross hematuria/ microscopic hematuria/ asymptomatic hematuria).[2]
  • Ensure urinary drainage.

References

  1. Avellino GJ, Bose S, Wang DS (2016). "Diagnosis and Management of Hematuria". Surg Clin North Am. 96 (3): 503–15. doi:10.1016/j.suc.2016.02.007. PMID 27261791.

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