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학습 자료 둘러보기 →In suspected Renal Cell Carcinoma, gross hematuria with clots is the priority finding. It indicates active hemorrhage from tumor erosion into the vasculature, not just chronic disease.
The primary danger is mechanical urinary tract obstruction. Clots can lodge in the ureters or urethra, causing acute urinary retention, hydronephrosis, and severe pain. This can rapidly progress to post-renal acute kidney injury.
Monitor for signs of hemodynamic instability (hypotension, tachycardia). A large-volume hemorrhage can lead to hypovolemic shock. Ensure large-bore IV access and prepare for continuous bladder irrigation or surgical intervention.
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