Haematuria in afya

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Unclear if GP, Urology or Nephrology

Microscopic/Dipstick pos = //non-visible//
Macroscopic =//visible//

''Causes of transient or spurious non-visible haematuria''
    urinary tract infection
    menstruation
    vigorous exercise
    sexual intercourse

''Causes of persistent non-visible haematuria''
    cancer (bladder, renal, prostate)
    stones
    benign prostatic hyperplasia
    prostatitis
    urethritis e.g. Chlamydia
    renal causes: IgA nephropathy (Berger's), thin basement membrane disease

''Management''
screening not useful
non-visible H same incidence if taking aspirin/warfarin - so investigate the same

''Testing'' - use dipstick (microscopy can be used but time dependant as delay alters numbers of blood cells seen)

NICE 2WW
    any age with painless visible haematuria
    >40y recurrent / persistent UTI associated with haematuria
    >50y with unexplained non-visible haematuria

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