Non-visible haematuria: and now, what?!

This episode reviews common abnormal urine tests based on published medical information as well as guidance by NICE and a number of NHS organisations in the UK. Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by them.

My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I go through the interpretation and initial management of invisible haematuria, sterile pyuria and proteinuria, always focusing on what is relevant in Primary Care only.

I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the information consulted. You must always use your clinical judgement.

Tracks:

00:00 – Introduction and welcome
00:25 – Testing for haematuria
03:13 – Significant haematuria
03:42 – Causes
05:52 – Investigations and referral
07:38 – Primary Care pathways
08:19 – Review of my summary flowchart
11:34 – Persistent non-visible haematuria long term monitoring
13:09 – Thank you and good-bye

There is a podcast version of this and other videos that you can access here:

Primary Care guidelines podcast:

• Redcircle: https://redcircle.com/shows/primary-c...
• Spotify: https://open.spotify.com/show/5BmqS0O...
• Apple podcasts: https://podcasts.apple.com/gb/podcast...

There is a YouTube version of this and other videos that you can access here:
• The Practical GP YouTube Channel:
https://youtube.com/@practicalgp?si=e...

My summary guide / flowchart can be downloaded here:

• https://1drv.ms/b/s!AiVFJ_Uoigq0mRCSW...

The resources consulted can be found here:

Suspected cancer: recognition and referral -NICE guideline [NG12] – urological cancers:
• https://www.nice.org.uk/guidance/ng12...
Chronic kidney disease: assessment and management - NICE guideline [NG203]:
• https://www.nice.org.uk/guidance/ng203
Joint consensus statement on the initial assessment of haematuria prepared on behalf of the Renal Association and British Association of Urological Surgeons:
• https://www.baus.org.uk/_userfiles/pa...
Assessment and management of non-visible haematuria in primary care BMJ article- BMJ 2009;338:a3021:
• https://www.bmj.com/content/338/bmj.a...
• https://www.bmj.com/bmj/section-pdf/1...
North Central London Haematuria clinical pathway PDF:
• https://gps.northcentrallondon.icb.nh...
Investigating painless haematuria BMJ article - BMJ 2008;337:a260:
• https://www.bmj.com/content/337/bmj.a260
South East London Urology Adult Primary Care Guidelines:
• https://www.bing.com/ck/a?!&&p=c2f49d...