Q:

A 26 year old man presents with painless hematuria. He has no other complaints and on examination no other abnormality is found. What is the most appropriate initial investigation to get to a diagnosis?

waelhammad
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2022-11-01
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A 26 year old man presents with painless hematuria. He has no other complaints and on examination no other abnormality is found. What is the most appropriate initial investigation to get to a diagnosis? 

  1. Cystoscopy
  2. Midstream urine for culture
  3. Abdominal US
  4. MRI spine
  5. Coagulation screening
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waelhammad
2022-11-01
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The key is C. Abdominal ultrasound. [Abdominal US to exclude polycystic disease, malignancy, tumour, urolithiasis etc]. 

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