Q:

A 24 year old man presents with painless hematuria. No other complaint and no abnormality is found on physical exam. What is the most appropriate initial investigation which is helpful to get a diagnosis?

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A 24 year old man presents with painless hematuria. No other complaint and no abnormality is found on physical exam. What is the most appropriate initial investigation which is helpful to get a diagnosis?


  1. Coag screening
  2. MSU
  3. Cystoscopy
  4. MRI spine
  5. Abdominal US

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The key is E. Abdominal US. [Painless hematuria in a young male without any other findings on history or examination often suggests Polycystic Kidney Disease].

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