Tuesday, February 12, 2013

Question 16

16.  Your patient is an 74 year old male that present with hematuria that has been going on for 2 weeks.  His urine micro and culture are essentially negative with the exception of >200 RBC in urine.  The patient has normal renal function, CBC, CT scan of abdomen and pelvis, as well as a normal renal ultrasound.  Which of the following is the most reasonable approach to this patient?

A.  Check an INR for a coagulopathy

B.  Check an intravenous pyelogram

C.  Cystoscopy

D.  Order a PSA


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