Q:

A 65-year-old man presented with frank hematuria. He has no other urinary symptoms. What is the most appropriate next step that will lead to the diagnosis?

waelhammad
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2022-11-04
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A 65-year-old man presented with frank hematuria. He has no other urinary symptoms. What is the most appropriate next step that will lead to the diagnosis?

  1. IVU
  2. US Abdomen
  3. Cystoscopy
  4. Mid-stream urine for culture
  5. Transrectal US
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waelhammad
2022-11-04
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The key is C. Cystoscopy. [Probable diagnosis is bladder cancer. Points in favour, Age 65, asymptomatic haematuria].

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