Re: Microscopic Hematuria

From: Jane Helwig, MD (jane@seasonedsystems.com)
Mon Mar 16 18:06:16 1998


At Mon, 16 Mar 1998, Robert Brenner wrote: >
>We often see young women with microscopic hematuria and negative urine
>cultures. I either send them all for work up or do it myself. To this day I
>have found NOTHING. I'd be interested in others' experience.
>

32yo G2P1 with microscopic hematuria noted by primary MD the year before, referred to urologist who did cysto which was normal. Appointment made for IVP, patient did not show up and at next visit to primary MD was pregnant, thus referred to us. Microscopic hematuria seen at each prenatal visit. During 2nd trimester, she complained of groin and bilateral upper thigh pain, thought secondary to pregnancy. To make a long story short, she had metastatic bone lesions with a renal mass, although it never got biopsied. No other primary tumor found. She and her fetus did not do well. No post obtained.

So I'd say keep doing those workups.

Jane

--
Jane Helwig, MD
Private practice
Nassawadox, VA




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