1 / 1

Management of Non-Visible Haematuria in Adults: Guidelines for General Practitioners

This guideline outlines the assessment and management of non-visible haematuria (NVH) in adults by general practitioners (GPs). It emphasizes the importance of urinalysis and initial investigations such as blood pressure measurement and eGFR. Special attention is given to persistent asymptomatic NVH in patients over 40 and those under 40 with cola-colored urine. Criteria for nephrological referral are specified, particularly regarding declining GFR and significant proteinuria. Ultimately, it provides a framework for secondary care management following a thorough evaluation.

alfonso-collins
Télécharger la présentation

Management of Non-Visible Haematuria in Adults: Guidelines for General Practitioners

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Urology – Non-Visible Haematuria (Adults) GP Assess Nonvisible haematuria MSSU (To exclude UTI, If +ve treat and reassess) Urinalysis, BP, U and E with eGFR, PCR (random urine sample for proteinuria). (PSA) • All patients with s-NVH (any age). • • All patients with persistent a-NVH aged ≥40 yrs. • * N.B. Some patients <40 yrs with cola-coloured urine and an inter-current (usually upper respiratory tract) infection will have an acute glomerulonephritis, and a nephrology referral may be considered more appropriate if clinically suspected. • • All patients with persistent a-NVH aged ≤ 40 yrs. • Consider Nephrological referral according to CKD guidelines • • Evidence of declining GFR (by >10ml/min at any stage within the previous 5 years or by >5ml/min within the last 1 year) • • Stage 4 or 5 CKD (eGFR <30ml/min) • • Significant proteinuria (ACR ≥30mg/mmol or PCR ≥50mg/mmol) • • Isolated haematuria (i.e. in the absence of significant proteinuria) with hypertension in those aged <40. • • Visible haematuria coinciding with intercurrent (usually upper respiratory tract) infection Urology One stop clinic History and exam Urinalysis prior to cystoscopy Flexible Cystoscopy CTIVU (or locally agreed alternative) DRE No Abnormality detected? Yes Secondary Care Secondary Care management Patient Primary Care Secondary Care

More Related