Determining The CAUSE OF MICROSCOPIC HEMATURIA
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- Опубліковано 7 лис 2022
- #nursepractitioner #familynursepractitioner #nursepractitioners
It’s not unusual to be taken by surprise when you see microscopic hematuria on urine dip results. The patients who end up with this as part of their presentation are often asymptomatic, and may even be giving you a urine sample for another reason - which can make chasing down the cause even more of a mystery.
If you don’t know where to start when it comes to determining the cause of microscopic hematuria, you’re not alone. In this video, we will cover a high-level approach to investigating a finding of microscopic hematuria. We will go over the workup for microscopic hematuria, and lots more:
✅ What is the difference between microscopic and macroscopic hematuria?
✅ When a urine dip is enough, and when you need to send the sample out
✅ What white blood cells and protein in the sample can tell you
✅ Essential history and symptom questions to ask
✅ When to repeat the urine dip at another time
Having a simple framework for approaching the sometimes mysterious microscopic hematuria will increase your confidence and help you to take the best care of your patients. Getting to the root cause of microscopic hematuria is another critical part of taking great care of the patients you work with.
If you liked this post, also check out:
⭐️ Your Urology Questions - Answered! - www.realworldnp.com/blog/your...
⭐️ Treating Patients With Symptoms Of Recurrent UTI - www.realworldnp.com/blog/trea...
⭐️ Dysuria in Primary Care for New Nurse Practitioners - www.realworldnp.com/blog/dysu...
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Please note: This episode is intended only for medical providers and students learning to be medical providers.
While anyone is welcome to view and listen, for legal and safety reasons, we are unable to diagnose, treat, or answer medical questions for individuals through this channel. We always refer individuals back to their primary care providers for medical care.
If you’re a medical provider or student and have specific patient cases you have questions about, I cannot answer those here but would love to help you inside our mentorship program! Join the waitlist at www.realworldnp.com/mentoring.
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Thank you for this! Very helpful
Glad it was helpful!
Besides being informative, I love how everything is soothing... The chapters The colors... Thank you
So nice of you! I appreciate your kind words.
You have beautiful energy! Just watching you cheered me up!
Oh thank you!
Hi!
I’ve only taken about one health related course in university, so breaking down my lab results showing trace blood in the urine was a bit daunting for me 😅.
It’s been a week or so for my PCP to get back to me on the results, so this has helped me a lot! Thanks for the breakdown :)
👍🏻
Bravo 👏👏👏👏👏👏 very clear 👏👏👏👏👏
Thank you! 😃
Perfect speed for us with adhd 🤓
=)
Hi, great vid, had a UTI that cleared but still find a +(1) blood in urinalysis..a urine culture with no growth (bacteria,parasites,negative) .no symptoms,have had sti screening,high viginal swab plus a Pap,all have turned negative... what could be the issue?
Hi! We cover topics like this in depth in our Lab Crash Course Check it out here: www.realworldnp.com/shop
Thank you
You're welcome!
What does 1 plus mean?
This is how the presence of blood will be reported by the lab.
@@RealWorldNP is this always bad if it happened
Can you explain + vs ++ etc?
Overall it correlates with the amount of blood present in the sample but it's dependent on a few factors! Tricky to answer in the comments here, but we definitely go into depth with interpretation inside the Lab Crash Course if that's something you'd like support with! www.realworldnp.com/labs
You talk fast. You seem to be in a hurry or nervous. The topic is interesting and if only you speak a bit slower and relaxed it will be more comprehensive. Thank you for the info.
I apologize for that. If you clinic the wrench under the video you can adjust the playback speed to your preference. Hope this helps
You can slow down the video speed on your own on here. Under settings, then playback speed pick one. I picked 0.75 playback speed.
Her pace was fine. Keep up next time
She’s my speed. I usually have to speed videos up, but her’s is perfect.
What about varicocele?
You know I haven't seen that myself and I don't see anything on my resources that suggest that varicocele can cause hematuria. That would be something to look into futher!
Why would a dipstick always be positive for microscopic blood, but went send out for analysis for presence of blood under microscope it’s always negative?
There could be MANY causes but should definitely be investigated. As a provider you should determine if additional work up or specialist referral is needed to determine the cause.
GREAT VIDEO! THE TEST STRIPS CAN BE WRONG! AND MANY DOCTORS DO NOT SEND THEM OUT BUT START TREATING YOU WITHOUT KNOWING WHAT THE REAL LABS REVEAL!
Yep, send those out!
You are Right
What would neurological causes be?
No neurological causes that I'm familiar with - typically renal, urologic, or "mimics" from structures in the area (perineum, anus, etc) or medications/foods/false +
NP here, working in Urology, unclear why you make the distinction of Urological parts vs Kidney/Nephrology? Better to just describe as upper vs lower GU tract. But the terminology of "Urological" structure is misleading, the kidneys are Urological by definition.
Thanks for your feedback.
I think she was describing Nephrology and Urology to hint or give guidance to what service to refer the patient to depending on what the labs show and what symptoms the patient has. I understand that kidney is part of the the urological system and some may get confused but I totally understood what she was saying.