Things not to miss - Glomerulonephritis
A 56 years old male patient presented to a GP with a history of hematuria for two days duration. There was no associated dysuria or features of bladder outflow obstruction. The hematuria was persistent and the urine was uniformly red in colour. He was a smoker. Physical examination was unremarkable. The GP reviewed the patient with followed investigations. WBC - 8 Hb - 10.1 MCV - 80 Plt - 145 S. Cr - 1.4mg/dL UFR RBC - Field full Pus cells - 5-10 Protein - 1+ As the reports were almost normal he suspected a carcinoma of the bladder and sent the patient to a urologist with a referral letter. Urologist arranged an ultrasound KUB which was normal. He planned a cystoscopy which was performed in a weeks time. It did not show any evidence of a malignancy. Investigations were repeated. WBC - 10.5 Hb - 9.4 MCV - 80 Plt - 130 S. Cr - 4.5mg/dL UFR RBC - field full Pus cells - 10-20 Protein 1+ The management team was alarmed, and the patient was immediately ref