An Unusual Hematuria In College Football Player - Page #3

Lab Studies:
CBC: Normal
CMP: Mild Hypokalemia 3.3 and Total Bilirubin mild elevation 1.3
PT: Mild elevation of 15.5, INR 1.2, PTT 30
Macroscopic UA: red-tinged, 3+ blood, 2+ protein, +1 urobilinogen, trace leukocyte esterase, no nitrites, no glucose
Microscopic UA: >150 RBCs, 0 WBCs, few bacteria & epithelial cells
Urine Culture: No growth

Other Studies:
1. CT Abdo/Pelvis without Contrast on day of admission Case Photo #1
-Mild right hydronephrosis with subtle right peripelvic fat stranding
-No ureteral calculus. No spleen, liver, pancreatic, GB, or left kidney abnormality.
2. CT Abdo/Pelvis with Contrast 1 day later
Subtle decreased enhancement at mid pole of right kidney consistent with renal contusion with adjacent soft tissue stranding. Otherwise unremarkable.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415

Website created by the computer geek