Author: Andrew Charlton / Editor: Mark Winstanley / Reviewer: Andrew Charlton / Codes: SLO1 / Published: 23/12/2021
A final year medical student presents to the Emergency Department describing 3 episodes of frank haematuria. He is caucasian, 25 years old and describes a history of recent mild fever, which he attributed to a viral illness. He is otherwise well, denies dysuria or any other urinary symptoms. He has not had any abdominal pain. He is low risk for Sexually Transmitted Infections and he describes passing red-stained urine 3 times in the last 24 hours. He does not have any other past medical history and does not normally take any medications. He denies any problems with bruising and hasn’t noticed any rash. He does not have any family history of any illnesses.
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Question 1 of 3
1. Question
What other questions would you like to ask the patient?
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Question 2 of 3
2. Question
In this case the patient denies any recent strenuous exercise or dietary changes, denies smoking, weight loss and has never worked in a factory. He has recently returned from his medical elective in Uganda, where he was living for the last 3 months.
Given this information, what investigations would you request?
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Question 3 of 3
3. Question
You contact the Urology on-call to arrange follow up in the Haematuria Clinic. Whilst you are on the phone, the microbiology lab phone to say they can see Schistosomiasis eggs in your patient's urine sample.
This is consistent with a diagnosis of Schistosomiasis Haematobium.
Urine microscopy of patients with Schistosomiasis Haematobium may reveal eggs, which is diagnostic. Urine samples collected between 1000 AM and 1400 PM are most likely to contain eggs.
What is the treatment for this diagnosis?
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Module Content
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14 responses
very informative
Excellent bite size topics
Very useful topic
Very useful
Useful revision . Thanks
A very good case to remind unshod to deal with tropical disease like Schistosomiasis
Very interesting, really useful topic and a reminder to think outside the box.
Very Informative
Keeps your clinical broadened when foreign travel is involved
Interesting and refreshes the mind on tropical diseases.
I like it thanks
Haematuria is increasing presentation nowdays
Excellent
this case made me think in different way to approach the Differential diagnosis and Treatment