EMQs in Clinical Medicine.pdf - Peshawar Medical College

Haematuria 157
69 Haematuria
A
B
C
D
E
F
renal cell carcinoma
Wegener’s granulomatosis
acute cystitis
idiopathic haematuria
benign prostatic hypertrophy
post-infectious
glomerulonephritis
G
H
I
J
K
L
ureteric calculus
polycystic kidney disease
bladder carcinoma
Goodpasture’s syndrome
carcinoma of prostate
Henoch–Schönlein purpura
For each clinical scenario below, suggest the most likely cause for the haematuria.
Each option may be used only once.
1 A 55-year-old smoker presents with painless haematuria and weight loss.
Ultrasonography of the kidneys is normal.
2 A 6-year-old boy presents with a 2-week history of non-blanching rash over the
buttocks and macroscopic haematuria. He complains of pain in both knees.
3 A 9-year-old boy presents with periorbital oedema and microscopic haematuria
plus proteinuria. Anti-streptolysin O titre (ASOT) is positive and serum C3 is
reduced. Apart from a sore throat 2 weeks ago, he has no previous medical
history of note.
4 A 30-year-old man presents with a colicky loin pain that radiates to the groin
area, which is associated with nausea and vomiting.
5 A 75-year-old woman presents with frequency, pain on micturition and haematuria.
Answers: see page 183.