A 70-year-old man is found to have asymptomatic microscopic haematuria (1+ blood) on a routine urine dipstick test performed during a health check. Re...

Question

A 70-year-old man is found to have asymptomatic microscopic haematuria (1+ blood) on a routine urine dipstick test performed during a health check. Renal function, blood pressure, and PSA are normal. According to NICE guidelines, what is the most appropriate next step?

Accepted Answer

Refer for non-urgent urology assessment for cystoscopy and upper tract imaging

Answer

Reassure and repeat urine dipstick in 6 months

Answer

Refer for urgent urology assessment (2-week wait)

Answer

Arrange renal ultrasound only

Answer

Measure urine protein:creatinine ratio (PCR)

ukmla MCQ (SBA): Microscopic Haematuria Investigation

A 70-year-old man is found to have asymptomatic microscopic haematuria (1+ blood) on a routine urine dipstick test performed during a health check. Renal function, blood pressure, and PSA are normal. According to NICE guidelines, what is the most appropriate next step?