QUIZ: A 65 year old man with blood in the urine and weight loss… what's the diagnosis? #shorts

A 65-year-old male, a long-time smoker, presents with painless visable blood in urine that has persisted for several weeks. He is also loosing weight without trying to. He denies any recent infections or history of kidney stones. A urine dipstick tests shows blood and a CT scan of the bladder shows a mass in the bladder. What is the most likely diagnosis? Post your answer in the comments section and I'll let you know if you are right!

A. Urinary Tract Infection
B. Bladder Cancer
C. Renal Cell Carcinoma
D. Benign Prostatic Hyperplasia

Answer: B. Bladder Cancer

Reason: The patient's presentation of painless hematuria, especially in the context of a long history of smoking, is highly suggestive of bladder cancer. Smoking is a well-established risk factor for bladder cancer, increasing the risk by causing harmful chemicals and toxins to accumulate in the urine. These substances can damage the lining of the bladder, leading to cancer.

The absence of pain, recent infections, and history of kidney stones helps to rule out other common causes of hematuria such as urinary tract infections, kidney stones, and glomerulonephritis. The lack of abdominal or flank tenderness further decreases the likelihood of these conditions.

While other diagnoses could be considered, the patient's specific risk factors and the nature of his symptoms most strongly point towards bladder cancer. Additional diagnostic steps, such as urine cytology and cystoscopy, would be warranted to confirm the diagnosis and assess the extent of the disease.

[FinianBalcomb]

i have no idea but i know urinary tract infections are painful, i thought the prostate was the reproductive part and there was the mass in the bladder so i think option B.bladder cancer

[dshe]

Weight loss and painless?
Bladder cancer I guess.

[Ultrasonic]

UTIs typically present symptomatically, do not cause loss of weight, and are not associated with homogenous masses of that nature on CT imaging.

The unexplained weight loss immediately makes me think something cancerous and while both bladder and prostate cancer can cause blood in urine the mass was found in the bladder; Bladder cancer is the most likely diagnosis.

[diya-fyxk]

Old age male, chronic smoker, painless haematuria with weight loss, CT s scan showing a mass in the bladder, Diagnosis to be Bladder cancer

[AimeeColeman]

65, smoker weight loss says cancer to me. Blood says bladder cancer. Dudes dont get UTIs thay often.
I'd say call for a urinary cytology

[fozzy]

Mass in the bladder. Sounds like a tough one. Gonna go with B.

Although weight loss is a suprising symptom. Is it just failure to retain liquids or does it suggest liver and kidney issues ontop of the bladder cancer?

[AnnieHyams-uopm]

A Urinary Tract Infection I Think Because Of The Kidney Stones That Mentioned In The Video Thank You So Much For Sharing Your Medical Quiz Questions @ Doctor O'Donovan 👍👍😀😀❤️❤️

[jmgaming]

My mums a doctor and she told me different types of Cancer so it cant be A. Im going to guess B though. Please tell me im right 😊

[susannam]

Bladder mets secondary to lung cancer?