A 62-year-old woman reports a single episode of painless visible haematuria with no infection. What is the appropriate action under NICE suspected cancer guidance?
Answer and explanation
Correct answer: A. Referral on the suspected cancer pathway for assessment
- Step 1: Unexplained visible haematuria in older adults can be the first sign of bladder or renal cancer. Step 2. NICE advises referral for visible haematuria without urinary tract infection in adults aged 45 and over. Answer: Referral on the suspected cancer pathway for assessment. Why not the others: A single episode still warrants evaluation. A year's delay is unsafe. Antibiotics are not indicated without infection.
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