ABSTRACT
This chapter presents a case of a 6-year-old girl who is brought to see the general practitioner (GP) by a single mother, who also works in an old people's home as a care assistant. The mother explains that her daughter has been passing bright red urine for the last week. In the past she came to the surgery with her mother reporting fits when she was age 5. The mother reported them happening 5-10 times per day at home, but during a 3-day admission for investigation none were seen by any staff. She may have a urinary tract infection although it is puzzling that she has no fever or bladder or loin tenderness given the large amount of blood seen. There may be a neoplastic lesion in the renal tract although the mother did describe pain on micturition, which is at odds with the examination. This is another good reason for review by a paediatrician.
