You might try a one month membership to UpToDate for around $47 --- or grab a recent copy of the Washington Manual -- or pick up the phone and call your friendly neighborhood urologist and discuss it with them over a beer -- most specialists actually like helping out with "here's what you need to do to for a workup so that when you do send us something, all the information is there" which helps you weed through the stuff that rightfully a PCP should handle ---So of course workup for over 3 or 5 RBC per highpowered field is look for obvious reasons of hematuria on hx/pe/ix (i.e. culture), treat, then repeat, and if persistent, on to u/s, +/- cytology +/- referral to uro.
but what of the folks who have trace on dipstick, but neg urinalysis? and it persists? how do i work myoglobinuria/hemoglobinuria into the workup and at what point do i refer and to whom?
anybody have a good resource to look at this one? i've looked at aafp for asymptomatic hematuria, but not getting a sense of how to work up the +ve trace dip, persistent, with clear urinalysis.
Don't know if they're appropriate or not -- I'd PM BlueDog -- or whoever the moderator of the forum is -- to be sure -- I do know that seeking medical advice on the boards is verboten ---hmm. ok pulling out my washington manual. but aafp really does have good articles, and geared towards fp, whereas washington manual i find and also utd for that matter has the full scope that perhaps is beyond. maybe i'll just use the old 'repeat and hope it's gone' as the first step again. additionally, i was wondering whether these kinds of questions were appropriate for sdn, and i believe your response might indicate that perhaps they aren't. so will delete.
Correct.Seeking medical advice about your own health on SDN is prohibited, but asking clinical questions about medical practice is fine.