Question

A 55-year-old male smoker presents with painless gross haematuria. He has no dysuria or flank pain. Urinalysis confirms numerous red blood cells without infection. What is the most appropriate next step in management?

Accepted Answer

Refer for cystoscopy and CT urography

Answer

Reassure and repeat urinalysis in 6 months

Answer

Treat empirically with antibiotics

Answer

Order renal ultrasonography alone

Answer

Start anticoagulation to prevent clots

Practice question

A 55-year-old male smoker presents with painless gross haematuria. He has no dysuria or flank pain. Urinalysis confirms numerous red blood cells without infection. What is the most appropriate next step in management?