Microscopic Hematuria CKD ELearning January 22 2020
>> YOUR LINK HERE: ___ http://youtube.com/watch?v=KvU7yrSpJfo
Dr. Peter Birks, a nephrologist at Fraser Health, presents a talk on microscopic hematuria. • 0:05:24 – Background • He begins by providing background information and definitions of microscopic hematuria. Significant microscopic hematuria is defined as greater than or equal to 3 RBC per high power field on urine microscopy. • 0:07:58 – Urine Testing • He discusses testing for microscopic hematuria. • 0:10:57 – Approaches • Dr. Birks gives an overview of systemic and organ-specific causes of the condition, including urinary, bladder, prostate and renal causes. In terms of screening, he notes that urine cytology is no longer recommended. • 0:15:08 – Investigation of Microscopic Hematuria • He notes that once it is detected, other causes (e.g., menstruation, vigorous exercise) need to be ruled out, and that all patients should received renal imaging. KUB ultrasound is the preferred initial investigation in most cases. He describes what might indicate parenchymal disease, and when a referral to urology for cystoscopy should occur. • 0:22:08 – Renal Parenchymal Disease • Dr. Birks talks about renal parenchymal diseases such as Glomerulonephritis, Alport syndrome, acute interstitial nephritis (AIN), polycystic kidney disease, sickle cell anemia, kidney stones, and other conditions. • 0:42:51 – Summary • He provides a summary of his talk and takes questions from the audience. • #Hematuria
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