Episode 91: Case Study #14: 40-Year-Old Male with Microscopic Hematuria - a podcast by Operation Podcast
from 2022-05-23T07:00
A 40-year-old man with no past medical history presents to the clinic to establish care. He reports that he had a prior urinalysis that revealed blood as an incidental finding. The urinalysis was done as a standard screening test by his former employer. He denies ever seeing any blood in his urine and denies any voiding difficulties, dysuria, sexual dysfunction, or any history or risk factors for sexually transmitted diseases (STDs). His review of systems is otherwise negative. He has smoked a half-pack of cigarettes per day for the past 10 years and exercises by jogging 15 minutes and lightweight training daily.
On examination, his vital signs are normal and the entire physical examination is unremarkable. A complete blood count (CBC) and a chemistry panel (electrolytes, blood urea nitrogen [BUN], and creatinine) are normal. The results of a urinalysis done in your office are specific gravity, 1.015; pH 5.5; leukocyte esterase, negative; nitrites, negative; white blood cell count (WBC), 0; red blood cell count (RBC), 4 to 5 per high-power field (HPF).
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