By vgreene, 13 November, 2020 Order CT urogram w w o IV contrast as initial imaging per AUA1 ACR 4 both also consider MR urogram w w o IV contrast as option MR urogram w o IV contrast is an option in pregnant pts per ACR 4 but AUA recommends renal US then axial imaging post partum1
By vgreene, 13 November, 2020 Refer for cystoscopy axial imaging 1 2 per ACP may consider cystoscopy imaging in any pt w microhematuria no obvious cause3
By vgreene, 13 November, 2020 Evaluation of upper and lower tract is recommended as CA risk is significant 10 8 11 1 1 2 antiplatelet anticoagulant tx does not change recs1 3
By vgreene, 13 November, 2020 Don t obtain urine cytology or other urine based molecular markers for bladder CA in initial eval1 2
By vgreene, 13 November, 2020 Order renal US as initial imaging per AUA 1 ACR favors CT urogram w w o IV contrast but renal US CT abd pelvis w o IV contrast CT abd pelvis w w o IV contrast MR urogram w w o IV contrast may also be appropriate MR urogram w o IV contrast also an option i
By vgreene, 13 November, 2020 Refer for cystoscopy imaging 1 per ACP may consider cystoscopy imaging in any pt w microhematuria no obvious cause 2 ACOG AUGS recommend against further eval for women 35 50y w 25 RBC hpf3
By vgreene, 13 November, 2020 Evaluation of upper and lower tract is warranted though CA risk is still relatively low 1 3 1 6 1 antiplatelet anticoagulant tx does not change recs1 2
By vgreene, 13 November, 2020 Don t obtain urine cytology or other urine based molecular markers for bladder CA in initial eval1 2