Exam questionKROK 2Medicine ยท 2019
A 50-year-old patient was brought to a hospital with complaints of blood in urine. Urination is painless and undisturbed. Macrohematuria had been observed for 3 days. Objectively: kidneys cannot be palpated. The suprapubic area is without alterations, external genitalia are non-pathologic. On rectal investigation: prostate is not enlarged, painless, has normal structure. Cystoscopy revealed no changes. What is the most likely Diagnosis?
Answer options
- Varicocele
- Bladder tuberculosis
- Renal carcinoma
- Dystopic kidney
- Necrotic papillitis
Correct answer
Renal carcinoma
Explanation
A 50-year-old patient was brought to a hospital with complaints of blood in urine. Urination is painless and undisturbed. Macrohematuria had been observed for 3 days. Objectively: kidneys cannot be palpated. The suprapubic area is without alterations, external genitalia are non-pathologic. On rectal investigation: prostate is not enlarged, painless, has normal structure. Cystoscopy revealed no changes. What is the most likely diagnosis?Hematuria without any other signs is Renal carcinoma.
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