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testing

 
   
 
Disease HEMATURIA
   
Treatment Ask the patient to show the urine in glass bottle or test tube. Is it Red blood, Brown Blood (Renal) or colour due B-complex/ Jaundice etc.? Get urine examined for RBC’s.

Mild Hematuria- often due to urinary infection / stone.

Plenty of water and fluids.
Cital x tsp in a glass of water x tds.
Cap. Norflox 400mg tds x 5.
Tab. Dicynene 1 tds.
Refer to a urologist or surgeon for investigation.

Ask for
Urine Routine, AFB, and culture, X ray KUM and ultrasonography. If no stone cystoscopy, IVP and CT scan.

Painful hematuria is usually due to stones. And in old patients, prostate malignancy.

Painless hematuria in young = TB or Papilloma of Blagger/ Kidney, TB, and Prostate.

If hematuria is fresh red blood with clots or continous refer immediately  to a surgeon. Urologist.

 No urine for > 12hrs,

If a ptient has not passed urine > 12 hours and bladder is not palpable.

First check the B.P.
Is there marked hypotension?
Is there H/o Gastroenteritis?
Palpate the abdomen for tenderness.
IF in doubt, catheterize the patient to confirm anuria.

If BP is low-
Fast IV drip x 2 pints RL.
Inj. Mephentin 2cc IV
If Bp does not rise and no urine – refer to hospital.

If abdomen is tender – gusrge or distended, Then it is? Peritonitis. Refer to surgeon/ Hospital.

If BP is normal and abdomen is soft.

Then it is? Acute Renal failure. There may be anorexia, vomiting, Hypertension breathlessness.

Do not give I.V. Fluids.
Injj. LASIX 2-4 amps IV stat.
IV 100ml 10% Mannitol.
If no urine, refer immediately.LASIX MEPHENTINE 
   

 

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