An Approach to Hematuria

A discussion of the definition, etiologies, and diagnostic work-up of hematuria (i.e. blood in the urine), including an assessment for bladder cancer.

[Munieq]

You are AWESOME! Hematuria was always a confusing differential for me, now everything seems to have fallen into place. Thank you!!

[dmmice]

I have gross hematuria due to kidney stones and having stents put in both kidneys because I have stones in both kidneys. I was hospitalized about a month ago because one of the stones got stuck in the ureter causing a blockage and an infection which led to sepsis. I was told if I waited 12 more hours I wouldn’t be here today. It was a real scary situation that changed my life quite a bit. I have to go for surgery to get the stones taken out I hope I will be okay!

[sunlulyal]

Easy, clear, and informative approach, Brilliant!. Thank you doctor

[claudiahansen]

Love your main chart, very precise and comprehensive. Husband has gross hematuria.

[MikeBirkhead]

Thanks!
My mother has had hematuria for over a year. Her presumptive diagnosis has been “blood thinners” and although she’s on Apixiban (which does not require INR), I’ve told her that isn’t a diagnosis unless they actually prove that her INR is supratherapeutic. Anyhow, I forwarded your video to her so she can see that blood thinners isn’t even in your differential.

Hoping she’ll seek a second opinion.

[nazranuhman]

The most common cause of hematuria that I see is related to anticoagulant therapy ! Thank you !

[sarahmina]

Thank you for the great synthesis! 🍀🙏
I find it difficult to make a diagnosis from a single physical exam finding or symptom. The approach of thinking retrospectively I mean.

[gregoryglavinovich]

good speaking style. not too fast nor to slow. Not boring, yet interesting. and important stuff

[medihacks]

I appreciate how clearly you provide information as well as providing well written information. Is this written information available for download?

[d.davidson]

Thank you. This popped up into my recommendations just when I needed it. Brilliant!

[hemandas]

Best in all videos and book especially in etiology 👍👍👍👍

[bigboyable]

I have urine strips to check for ketones since I was doing keto, I thought so I would get like plus 2 for blood, and I went to see a urologist and they never found nothing, got me a bit anxiety, so yea it should be from dehydration and exercises !

[Cork_UO]

I have had microscopic hematuria for decades. It comes and goes and they have never found a cause for it. My new Urologist wants to possibly do another cystoscopy since it's been 15+ years since my last one. I really don't want to have that again because my first urologist was an asshole and it hurt.

[donnelljefferson]

LIKE TO HAVE THIS CHART DOWNLOADABLE!!!

[eugene]

thank you. just started primary care and needed a quick reference!

[sunving]

Thank you Dr Strong, good lecture, I got a quick review, so wonderful.

[MSDOGS]

Six months ago I had a UTI with a little visible blood and antibiotics cleared it all up. But due to my senior status they did an in office scope and also got a ct scan. Both showed thickened walls with inflamed looking veins. So the dr prescribed more antibiotics and said lets look at it again in 6 months. Just so happens I passed more blood right before my appt. So he scheduled another scope this time in the hospital for a biopsy. Many years ago my liver enzymes went out the roof and I was diagnosed with an autoimmune problem and prednisone cleared it up. My urologist said it could be something similar with my bladder but cancer is always possible. So in a couple of weeks I get to go through this ordeal. I hope it's not the big C.

[menpagnaroat]

Thank you very much again, Dr. Eric for another practical lesson.

[DrAdnan]

I can never get kidney pathologies sorted out in my head (particularly nephrotic/nephritic syndromes) :(

[priyadarshini]

very clear explanation.
can you do it for proteinuria.