Cystoscopy & Haematological Support
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Cystoscopy & Haematological Support

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Laboratory Services & Consultations Ltd. presentation on Cystoscopy & Haematological Support

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  • 1. Case presentation
    59 year old male presented with unabating frank haematuria
    Renal Transplant 2008 – early transplant failure
    MSU E Coli and Group Streptococcus – Norfloxacion + Amoxicillin
    U/S – no obvious cause for haematuria from native or transplant kidneys
  • 2. Cystoscopy
    GA cystoscopy, bladder wash out , bladder biopsy and cystodiathermy
    Erythema on posterior wall and clots in the bladder (histology – mild inflammation and acute haemorrhage with dilated capillaries)
    No bleeding seen coming from ureteric orifices
    Bleeding time 15 mins.
    Diagnosis of Uraemic bleeding dysfucntion
    Further cystoscopy – to wash out clots
  • 3. Haematological support
    Dialysis (BUN 29 and creat 10.9)
    Blood (Hb 6.0)
    FFP
    Cryoprecipitate
    IV Desmopressin (LIAT Barbados)
    Conjugated oestrogens