Two Cases with Red-Colored Urine:

Case 1: A 20-year-old female presents with red urine and dysuria over the past 2 days. The last menstrual period occurred 2 weeks ago; not currently on any medications. No history of trauma, fever, or flank pain. Vital signs: Temp: 97, BP: 115/80, HR: 80. Urinalysis reveals: Protein: Trace, RBC: 100+, WBC: 25-30, Bacteria: Present, Casts: Nil, Crystals: Nil, Serum creatinine: 0.8.

Case 2: A 22-year-old male, currently recovering from a URTI (Day 3, on Paracetamol and Cetirizine), noticed dark urine this morning. Vital signs: Temp: 99, HR: 95, BP: 140/90. Urinalysis shows Protein: 1+, RBC: 30-50, WBC: 4-6, Bacteria: Absent, Casts: RBC, Crystals: Nil, Serum creatinine: 1.4.

Suggest the next steps for both cases.

  • #urology
  • #general medicine
  • #family health

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