An Unusual Hematuria In College Football Player

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An Unusual Hematuria In College Football Player - Page #3

Lab Studies: CBC: Normal CMP: Mild Hypokalemia 3.3 and Total Bilirubin mild elevation 1.3 PT: Mild elevation of 15.5, INR 1.2, PTT 30 Macroscopic UA: red-tinged, 3+ blood, 2+ protein, +1 urobilinogen, trace leukocyte esterase, no nitrites, no glucose Microscopic UA: >150 RBCs, 0 WBCs, few bacteria & epithelial cells Urine Culture: No growth Other Studies: 1. CT Abdo/Pelvis without Contrast on day of admission Case Photo #1 -Mild right hydronephrosis with subtle right peripelvic fat stranding -No ureteral calculus. No spleen, liver, pancreatic, GB, or left kidney abnormality. 2. CT Abdo/Pelvis with Contrast 1 day later Subtle decreased enhancement at mid pole of right kidney consistent with renal contusion with adjacent soft tissue stranding. Otherwise unremarkable. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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