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Other causes of bleeding, like [[menstruation]] and [[haemorrhoids]], should be excluded. To rule out transient microhaematuria, microhaematuria should be confirmed with a second analysis after 1 month. | Other causes of bleeding, like [[menstruation]] and [[haemorrhoids]], should be excluded. To rule out transient microhaematuria, microhaematuria should be confirmed with a second analysis after 1 month. | ||
Because malignancy may be an underlying cause, patients with otherwise unexplained haematuria must be thoroughly evaluated for malignancy. The first step is usually to rule out bladder malignancy with [[cystoscopy]].<section end="clinical biochemistry" /> | Because malignancy may be an underlying cause, patients with otherwise unexplained macrosopic haematuria must be thoroughly evaluated for malignancy. In Norway, referral for malignancy evaluation for microscopic haematuria is indicated if there is 2+ or more on the urinary dipstick test (or > 2 RBCs per field of view on microscopy) on three separate tests with 1 month in-between. The first step is usually to rule out bladder malignancy with [[cystoscopy]].<section end="clinical biochemistry" /> | ||
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