A 55 yr old man presents with complain of painless hematuria with passage of blood clots in urine intermittently for past 5 years. Recently he had 5 episodes lasting for 4 – 5 days. Which of the following investigation would yield most to arrive at diagnosis?
|C||Urine examination and microscopy|
To find a cause for urinary bleeding, the following tests and exams play a key role:
a. Physical exam
b. Urine tests. Even if patient bleeding was first discovered through urine testing (urinalysis), patient likely to have another test to see if patient urine still contains red blood cells. Hematuria that occurs just once usually doesn't need further evaluation. Urinalysis can also help determine if patient have a urinary tract infection or are excreting minerals that cause kidney stones.
c. Imaging tests. Most people with hematuria are likely to have an imaging test that provides detailed images of their internal org ans. This might be a computerized tomography (CT) scan, which uses radiation and a powerful computer to create cross-sectional images of the inside of the body; magnetic resonance imaging (MRI), which uses a magnetic field and radio waves instead of X-rays to produce images; or an ultrasound exam. Ultrasound uses a combination of high-frequency sound waves and computer processing to view your kidneys and bladder.