Haematuria

Published on 23/05/2015 by admin

Filed under Internal Medicine

Last modified 23/05/2015

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Haematuria

Haematuria is the passage of red blood cells in the urine. Care must be taken to distinguish it from other causes of discoloration of urine. All patients with haematuria must be fully investigated. If haematuria has initially been diagnosed on dipstick testing, it must always be confirmed by microscopy.

Causes

Kidney

• Glomerular disease

• Trauma (including renal biopsy)

• Polycystic kidney

• TB • (common in some parts of the world where TB is endemic)

• Renal vein thrombosis

• Vascular malformation

Ureter

Bladder

• Carcinoma (Fig. 30).

• Inflammatory, e.g. cystitis, TB, schistosomiasis

• Catheter-associated

Figure 30 CT scan of the pelvis showing a transitional cell carcinoma involving the right lateral and posterior bladder wall (arrows).

Prostate

• Benign prostatic hypertrophy

Urethra

General

• Anticoagulant therapy

• Thrombocytopenia

• Strenuous exercise

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