7 results
Urothelial Carcinoma - Examination of the bladder with a rigid cystoscope revealed a papillary mass that
Examination of the bladder ... with a rigid cystoscope ... #Clinical #Urology ... #Honc #Cystoscopy ... UrothelialCancer #NEJM
Ureteral Papillary Mass on Cystoscopy
Cystoscopic examination of the bladder in a 69 yo woman w/new-onset gross
Mass on Cystoscopy ... Cystoscopic examination ... of the bladder ... #Urology #Clinical ... #NEJM #Peristalsis
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
/WBC casts, proteinuria ... suggest intrinsic renal ... early (distal urethra ... tract), terminal (bladder ... Diagnosis #EM #IM #Urology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Mass Ureteral ... gross hematuria Bladder ... • Cystitis • Bladder ... /Ureter/Bladder ... Diagnosis #causes #urology
Ureteral Stone on Renal POCUS

A 23yo male with no significant PMHx presents with acute LLQ pain,
Ureteral Stone on ... Bladder ultrasound ... DC home (w/ op urology ... #Ureteral #Stone ... clinical #ultrasound
Gartner’s Duct Cyst - A physical examination revealed a smooth, nontender mass, 5 cm in the
A cystoscopic examination ... did not reveal a urethral ... or bladder diverticulum ... #Clinical #Obgyn ... Gartner #Congenital #NEJM
Approach to Microscopic Hematuria 

Microscopic hematuria is often incidental but may be associated with urologic malignancy.
associated with urologic ... Hematuria: - ≥ 3 RBC ... or proceed with cystoscopy ... & renal ultrasound ... Risk: Perform cystoscopy