HISTORY:
Gross hematuria for
Type: , clots
Episodes: times
, up to °, over
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
CVA tenderness:
Anorectal: DRE , prostate , anus
Genital: , testicles , penis
Pelvic: vulva , vagina , cervix , uterus , adnexa ,
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , , , ,
- Urine: , ,
- CT pyeloscan
- Cystoscopy
- if infection suspected
- Reassess medications that may contribute, such as anticoagulants and antiplatelets
- Increase fluid intake
- Referral to urologist
- Referral to nephrologist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop
- Go to ER if severe pain, fever, or inability to urinate occurs