Cystoscopy & Haematological Support

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Cystoscopy & Haematological Support

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

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