A 51-year-old male is being reviewed by his GP for painless haematuria | Medibuddy
31st May 2023

A 51-year-old male is being reviewed by his GP for painless haematuria

A 51-year-old male is being reviewed by his GP for painless haematuria. He has no PMH of note and takes no regular medications. He smoked for a few years as a teenager but none since and is teetotal. On examination, there is a fullness to palpation in the left flank. His GP arranges for urgent blood tests.

Hb 194 g/L (130-180 g/L)
WCC 8.2 x 10^9/L (3.6-11 x 10^9/L)
Platelets 285 x 10^9/L (150-400 x 10^9/L)
HCT 0.60 (0.40-0.52)
EPO 28 mIU/ml (2.6-15.8 mIU/ml)

Which investigation is most likely to reveal the cause for the FBC results?

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