firstaid 4 usmle step 2ck 2006
by the way many many renal cell carcinomas can present to you with only ASYMPTOMATIC hematuria
do you know what's the DDx dor asymptomatic hematuria?
Is usually associated with tumor or TB
Haematuria in asymptomatic patient may lead to early discovery of potentially se-
rious glomerular disease such as SLE, henoch-schonlein purpura ,post infection GN or idepathic hypercalciuria in children .
Asymptomatic haematuria is also the primary presenting manifestation of a number of specific glomerular disease such as IGA nephropathy , ALPORT’s syndrome , and thin glomerular basement membrane disease.
Total haematuria (throughout the stream) suggests bleeding from URT or bladder
Initial haematuria (at the start of the stream) suggests bleeding from the urethra or prostate
Terminal haematuria(at the end of the stream) suggests bleeding from the bladder or prostate
انذار RCC بقيا لمدة خمس سنوات حوالي 75% بالمراحل الاولى
اما المراحل المتأخرة 5-10%