Background: High-risk patients with hematuria often warrant an outpatient evaluation for bladder cancer; however the presence of microscopic hematuria may often be missed by primary care physicians after hospital discharge. Whether outpatient physician’s routinely follow-up incidental microscopic hematuria on urinalysis performed during inpatient visits is yet to be fully elucidated. Our aim was to assess [...]

Case Presentation: A 49 year old female with history of alcoholic cirrhosis presented to the ED after experiencing self-reported bright red blood per rectum that morning. Patient had history of numerous prior admissions for reported GI bleed with extensive endoscopic work-up; evidence of portal hypertensive gastropathy had been seen previously however no actively-bleeding lesions were [...]

Case Presentation: An 18-year-old woman who presented with a year history of recurrent painless gross hematuria and a 3-year history of anemia requiring continuous oral iron replacement therapy and subsequent blood transfusions. On further evaluation, she was also found to have significant proteinuria with preserved renal excretion function and a negative autoimmune panel. A renal [...]

Case Presentation: A 56 year-old man with schizoaffective and antisocial personality disorders was admitted from the county jail witha 4-day history of fever, hemoptysis, severe headaches, hematuria, diffuse myalgias,and bloody diarrhea. Officers reported the patient frequently flooded his cell and ingested toilet water. A CXR revealed L>R bibasilar infiltrates, and a diagnosis of Legionellapneumonia was [...]

Case Presentation: A 22-year-old female presented with diffuse abdominal pain and a past medical history of endometriosis managed with medroxyprogesterone acetate injections. She also reported a decreased appetite and hematuria. Six months earlier she presented with similar symptoms and was diagnosed with an endometriosis flare. On this admission, the heart rate was 131 bpm, with [...]

Case Presentation: 28-year-old male with past medical history of recent nephrolithiasis presented with lower back pain, hematuria and upper extremity ecchymosis of 1 week duration. He denied any history of bleeding disorders, ingesting any anticoagulants, recent infections or drug usage. Upon work up, patient was found to have an INR (International Normalized Ratio) of > [...]

Case Presentation: The patient is a 76-year-old male with a PMHx of DM2, HTN and HLD who presented with a complaint of bloody urine in addition to fevers and chills for a day. He denied any past history of bloody urine. The patient also pointed out that he has had a new painless right lower [...]

Case Presentation: The patient was a 73 year old gentleman with a recent diagnosis of heart failure with preserved ejection fraction presenting with weight gain, worsening dyspnea, lower extremity edema, and urinary incontinence since beginning furosemide two months previously. Labs were notable for a creatinine of 2.68 mg/dL from a baseline of 1.0 mg/dL. The [...]

Case Presentation: A 64 yr old gentleman presented to the emergency department of our hospital with abdominal pain and hematuria. Initial laboratory evaluation revealed unremarkable metabolic profile and mild anemia (Hgb -9.3 g/dl). Urinalysis was full of RBC’s with negative culture. CT abdomen revealed bilateral hydroureteronephrosis (HDUN) with a bladder mass (Fig I). Cystoscopy revealed [...]