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Hematuria

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cancer) is discovered in 20–25%. Hematuria alone without accompanying symptoms should be raise suspicion of malignancy of the urinary tract until proven otherwise. The initial evaluation of patients presenting with signs and symptoms that are consistent of hematuria include assessment of hemodynamic status, underlying cause of hematuria, and ensuring urinary drainage. These steps include assessment of the patient's heart rate, blood pressure, a physician exam taken by a healthcare professional, and blood work to ensure the patient's hemodynamic status is adequate. It is important to obtain a detailed history from the patient (i.e. recreational, occupational, and medication exposures) as this information can be helpful in suggesting a cause of hematuria. The physical exam can also be helpful in identifying a cause of the hematuria as certain signs found on the physical exam can suggest specific causes of the hematuria. In the event the initial evaluation of hematuria does not reveal an underlying cause then evaluation by a physician who specializes in Urology may proceed. This medical evaluation may consist of, but is not limited too, a history and physical exam taken by healthcare personnel, laboratory studies (i.e. blood work), cystoscopy, and specialized imaging procedures (i.e. CT or MRI).
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Signs and symptoms that indicate a urogential tract infection is the source of the sepsis may include, but are not limited to, flank pain, costovertebral angle tenderness, pain with micturition, urinary retention, and scrotal pain. In terms of the visibility, hematuria can be visible to the naked eye (termed "gross hematuria") and may appear red or brown (sometimes referred to as tea-colored), or it can be microscopic (i.e. not visible to the eye but detected of urosepsis. In addition to imaging tests, patients may be treated with antibiotics to relieve the infection and intravenous fluids to maintain cardiovascular and renal perfusion. Acute management of hemodynamic status, in the event intravenous fluids are unsuccessful, may include the use of vasopressor medications and the placement of a central venous line.
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The evaluation of hematuria is dependent upon the visibility of the blood in the urine (i.e. visible/gross vs microscopic hematuria). Visible hematuria must be investigated, as it may be due to a pathological cause. In those with visible hematuria, urological cancer (most frequently bladder or kidney
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hematuria can be initial, terminal or total, meaning blood can appear in the urine at the onset, midstream, or later. If it appears soon after the onset of urination, a distal site is suggested. A longer delay suggests a more proximal lesion. Hematuria that occurs throughout urination suggests that
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Urosepsis is defined as sepsis caused by a urogenital tract infection and comprises about 25% of all sepsis cases. Urosepsis is the result of a systemic inflammatory response to infection and can be identified by numerous signs and symptoms (e.g. fever, hypothermia, tachycardia, and leukocytosis).
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In the United States, microscopic hematuria has a prevalence of somewhere between 2% and 31%. Higher rates exist in individuals older than 60 years of age and those with a current or prior history of smoking. Only a fraction of individuals with microhematuria are diagnosed with a urologic cancer.
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hematuria can be visible to the naked eye (termed "gross hematuria") and may appear red or brown (sometimes referred to as tea-colored), or it can be microscopic (i.e. not visible but detected with a microscope or laboratory test). Microscopic hematuria is present when there are three or more red
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of the urine should be performed, if it has not been done already. If the culture is positive (indicating a bladder infection), urinalysis and urine microscopy should be repeated following treatment to confirm resolution of the hematuria. If the culture is negative or if hematuria persists after
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In pediatric populations, the prevalence is 0.5–2%. Risks factor include older age and female gender. About 5% of individuals with microscopic hematuria receive a cancer diagnosis. 40% of individuals with macroscopic hematuria (blood easily visible in the urine) receive a cancer diagnosis.
248:. Additionally, menstruation in women may cause the appearance of hematuria and may result in a positive urine dipstick test for hematuria. The causes corresponding to these anatomic locations can be divided into glomerular and non-glomerular causes, referring to the involvement of the 888:. If an underlying cause for hematuria is discovered, it should be managed appropriately. However, if no underlying cause is discovered, the hematuria should be re-evaluated with urinalysis and urine microscopy within 12 months. Additionally, for all risk categories, if a 131:. "Gross hematuria" occurs when urine appears red, brown, or tea-colored due to the presence of blood. Hematuria may also be subtle and only detectable with a microscope or laboratory test. Blood that enters and mixes with the urine can come from any location within the 797:
procedure. After benign causes have resolved or been treated, a repeat urinalysis and urine microscopy is warranted to ensure cessation of hematuria. If hematuria persists (even if there is a suspected cause), the next step is to stratify the risk of the person for
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may cause the appearance of hematuria and may result in a urine dipstick test positive for hematuria. Menstruation can be ruled out as a cause of hematuria by inquiring about menstruation history and ensuring the urine specimen is collected without menstrual blood.
1031:. Routine screening is not recommended. Individuals with risk factors who undergo repeated testing have higher rates of urologic malignancies. These risks factors include age (> 40 years), male gender, previous or current smoking, chemical exposure (e.g., 677:. If any of these are present, it is appropriate to repeat a urinalysis with urine microscopy in 1 to 2 weeks or after treatment of the infection. If the results of the urinalysis and urine microscopy reveal a glomerular origin of hematuria (indicated by 2126: 2107: 287:
into the renal tubules and eventually into the urinary system. Normally, red blood cells should never pass from the glomerular capillary into the renal tubule, and this is always a pathological process. Glomerular causes include:
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Davis, Rodney; Jones, J. Stephen; Barocas, Daniel A.; Castle, Erik P.; Lang, Erich K.; Leveillee, Raymond J.; Messing, Edward M.; Miller, Scott D.; Peterson, Andrew C.; Turk, Thomas M. T.; Weitzel, William (2012-12-01).
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Barocas, Daniel A.; Boorjian, Stephen A.; Alvarez, Ronald D.; Downs, Tracy M.; Gross, Cary P.; Hamilton, Blake D.; Kobashi, Kathleen C.; Lipman, Robert R.; Lotan, Yair; Ng, Casey K.; Nielsen, Matthew E. (2020-10-01).
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and promote ongoing bleeding from the urinary tract. Removing all blood clots prevents the formation of this natural anticoagulant. This in turns facilitates the cessation of bleeding from the urinary tract.
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The first step in evaluation of red or brown colored urine is to confirm true hematuria with urinalysis and urine microscopy, where hematuria is defined by three of more red blood cells per
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Many causes may present as either visible hematuria or microscopic hematuria, and so the differential diagnosis is frequently organized based on glomerular and non-glomerular causes.
1860: 191:. When hematuria is detected, a thorough history and physical examination with appropriate further evaluation (e.g. laboratory testing) can help determine the underlying cause. 539:(muscle breakdown). Thus, a positive dipstick test does not necessarily indicate hematuria; rather, microscopy of the urine showing three of more red blood cells per 283:(small tubular structures made up of red blood cell components) on urine microscopy. This occurs due to the red blood cells being deformed as they pass through the 1248: 167:. But not all red urine is hematuria. Other substances such as certain medications and foods (e.g. blackberries, beets, food dyes) can cause urine to appear red. 2483: 163:, viral illness, trauma, bladder cancer, and exercise. These causes are grouped into glomerular and non-glomerular causes, depending on the involvement of the 1892:
Wagenlehner, Florian M. E.; Lichtenstern, Christoph; Rolfes, Caroline; Mayer, Konstantin; Uhle, Florian; Weidner, Wolfgang; Weigand, Markus A. (June 2013).
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Pade, Kathryn H.; Liu, Deborah R. (September 2014). "An evidence-based approach to the management of hematuria in children in the emergency department".
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When asymptomatic populations are screened with dipstick and/or microscopy medical testing about 2% to 3% of those with hematuria have a urologic
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Not all red or brown urine is caused by hematuria. Other substances such as certain medications and certain foods can cause urine to appear red.
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on any urinalysis. For the low risk category, the next step is to either repeat a urinalysis with urine microscopy in 6 months or perform a
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Blood clots that remain in the bladder are digested by urinary urokinase producing fibrin fragments. These fibrin fragments are natural
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Coplen, D. E. (January 2013). "Diagnosis, Evaluation and Follow-Up of Asymptomatic Microhematuria (AMH) in Adults: AUA Guideline".
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Partin, Alan W.; Dmochowski, Roger R.; Kavoussi, Louis R.; Peters, Craig, eds. (2021). "Evaluation and Management of Hematuria".
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in red blood cells, it also identifies free hemoglobin and myoglobin. Free hemoglobin may be found in the urine resulting from
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may be falsely positive for hematuria due to other substances in the urine. While the urine dipstick test is able to recognize
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in women may also cause the appearance of hematuria and may result in a positive urine dipstick test for hematuria. A
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Hematuria due to a glomerular source commonly presents as dysmorphic red blood cells (misshapen red blood cells) or
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test may also give an incorrect positive result for hematuria if there are other substances in the urine such as
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into low, intermediate, or high risk to determine next steps. To be in the low risk category, one must satisfy
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After detecting and confirming hematuria with urinalysis and urine microscopy, the first step in evaluation of
587: 421: 252:. Non-glomerular causes can be further subdivided into the upper urinary tract and lower urinary tract causes. 206:
Hematuria can be classified according to visibility, anatomical origin, and timing of blood during urination.
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test should be confirmed with microscopy, where hematuria is defined by three or more red blood cells per
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Postrenal hematuria - the presence of blood in urine (because of damage to the urethra and prostate).
1985:(first ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. pp. 175–176. 2802: 2590: 2440: 2130: 1722:"Diagnosis, Evaluation and Follow-Up of Asymptomatic Microhematuria (AMH) in Adults: AUA Guideline" 1346:
McAninch, Jack W.; Lue, Tom (2013). "Chapter 3: Symptoms of Disorders of the Genitourinary Tract".
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Acute clot retention is one of three emergencies that can occur with hematuria. The other two are
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Visible blood clots in the urine indicate a non-glomerular cause. Non-glomerular causes include:
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The acute management of obstructing clots is the placement of a large (22–24 French) urethral
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blood or red blood cells can enter and mix with urine at multiple anatomical sites within the
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Cohen, Robert A.; Brown, Robert S. (2003-06-05). "Clinical practice. Microscopic hematuria".
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Please help update this article to reflect recent events or newly available information.
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should be made. If the results of the urinalysis indicate a non-glomerular origin, a
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Papadakis, Maxine A.; McPhee, Stephen J.; Rabow, Michael W. (14 September 2021).
1059:, or greater than 25 red blood cells per high powered field on urine microscopy. 2856: 2771: 2763: 2512: 2291: 2180: 1797: 1780: 1570: 953: 810:; is a female less than 50 years old or a male less than 40 years old; has 3–10 678: 475: 381: 2161: 2058: 1959: 1737: 1484: 1300: 2820: 2666: 2635: 2576: 2202: 1650: 1431: 1234: 1127: 1048: 889: 885: 881: 877: 870: 866: 859: 794: 703: 508: 490: 480: 385: 68: 2207: 2035: 2000: 1967: 1608: 2825: 2630: 2595: 2430: 2425: 2191: 2120: 2116: 2057:
Sharp, Victoria; Barnes, Kerri D.; Erickson, Bradley D. (December 1, 2013).
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of the following criteria: Has never smoked tobacco or smoked less than 10
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Increased tendency to bleed due to acquired or genetic conditions (e.g.
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of hematuria can often be explained by damage to the structures of the
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should be performed. Hemodynamic stability should be monitored and a
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Avellino, Gabriella J.; Bose, Sanchita; Wang, David S. (June 2016).
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Clinical Methods: The History, Physical, and Laboratory Examinations
869:. For the intermediate risk category, the next step is to perform a 1148:, in Walker, H. Kenneth; Hall, W. Dallas; Hurst, J. Willis (eds.), 2695: 1675:
Yun, Edward J.; Meng, Maxwell V.; Carroll, Peter R. (March 2004).
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and mechanical or chemical erosion of the mucosal surfaces of the
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Izzo, Joseph L.; Sica, Domenic A.; Black, Henry Richard (2008).
524: 2548: 2235: 717: 2059:"Assessment of Asymptomatic Microscopic Hematuria in Adults" 1894:"Diagnosis and management for urosepsis: Items in urosepsis" 1456:
Ingelfinger, Julie R. (8 July 2021). "Hematuria in Adults".
880:. For the high risk category, the next step is to perform a 1853:"Urologic Emergencies: Gross Hematuria with Clot Retention" 1066:
is very high due to the high prevalence of the blood fluke
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Shah, Samir; Ronan, Jeanine C.; Alverson, Brian (2014).
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Medications that may cause urine to appear red include:
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bleeding is occurring above the level of the bladder.
2089: 1547:"Changes in Urine; Symptoms, Causes & Treatment" 1051:), prolonged foreign body in the bladder (such as a 842:. To be in the high risk category, one must satisfy 781:
is to rule out benign causes. Benign causes include
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Abnormal clinical and laboratory findings for urine
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Trauma or damage to the lining of the urinary tract
88: 78: 62: 40: 35: 1525:. Lippincott Williams & Wilkins. p. 382. 1451: 1449: 1447: 1445: 1443: 1441: 486:Foods that may cause urine to appear red include: 850:; is older than 60 years of age; or has above 25 1219:(Twelfth ed.). Philadelphia, Pennsylvania. 1070:, which chronically infects the urinary tract. 1670: 1668: 1110:Current medical diagnosis & treatment 2022 623:Mechanical trauma: masturbation, foreign body. 44:Haematuria, erythrocyturia, blood in the urine 2560: 2247: 1424:Symptom to diagnosis: an evidence-based guide 8: 822:of the following criteria: Has smoked 10–30 564:Common causes of hematuria in children are: 1299:Saleem, Muhammad O.; Hamawy, Karim (2022), 1062:The prevalence of microscopic hematuria in 2718: 2567: 2553: 2545: 2254: 2240: 2232: 2090: 1677:"Evaluation of the patient with hematuria" 1483:Hashmi, Mydah S.; Pandey, Jyotsna (2022), 1247:: CS1 maint: location missing publisher ( 49: 32: 1909: 1796: 535:may be found in the urine resulting from 298:Thin glomerular basement membrane disease 710:should be ordered to assess for anemia. 324:Membranoproliferative glomerulonephritis 256:In terms of the timing during urination, 198: 1846: 1844: 1635:"Diagnosis and Management of Hematuria" 1083: 949:Medical emergency: acute clot retention 892:origin is suspected, consultation of a 604:Vascular: arteriovenous malformations, 179:, a protein excreted into urine during 1941: 1939: 1937: 1935: 1933: 1931: 1929: 1842: 1840: 1838: 1836: 1834: 1832: 1830: 1828: 1826: 1824: 1240: 1152:(3rd ed.), Boston: Butterworths, 606:hereditary hemorrhagic telangiectasias 1773: 1771: 1769: 1767: 1765: 1763: 1761: 1759: 1757: 1755: 1714: 1712: 1710: 1597:Pediatric Emergency Medicine Practice 1417: 1415: 1413: 1411: 1409: 1407: 1405: 1403: 1401: 1399: 1397: 1395: 1393: 1391: 1389: 1387: 1385: 1383: 1381: 1379: 1377: 1348:Smith & Tanagho's General Urology 1341: 1339: 1337: 1335: 1333: 1331: 1329: 1327: 1294: 1292: 1290: 1288: 1286: 1284: 1282: 1280: 1278: 1210: 1208: 1206: 1204: 1202: 631:Post-streptococcal glomerulonephritis 155:. Common causes of hematuria include 58:Visible hematuria that is tea-colored 7: 2484:Abderhalden–Kaufmann–Lignac syndrome 1781:"Microhematuria: AUA/SUFU Guideline" 1375: 1373: 1371: 1369: 1367: 1365: 1363: 1361: 1359: 1357: 1276: 1274: 1272: 1270: 1268: 1266: 1264: 1262: 1260: 1258: 1200: 1198: 1196: 1194: 1192: 1190: 1188: 1186: 1184: 1182: 1139: 1137: 1103: 1101: 1099: 1097: 1095: 1093: 1091: 1089: 1087: 2016:The New England Journal of Medicine 976:Repeat until all clots are removed. 964:Connect syringe to a catheter port. 769:, next to benign urothelial cells ( 627:Nephritic syndrome: IgA nephropathy 1732:(6S) (published 2012): 2473–2481. 584:ureteropelvic junction obstruction 222:In terms of the anatomical origin, 36:Hematuria (differential diagnosis) 25: 1639:Surgical Clinics of North America 970:Draw back 180cc of bladder urine. 314:Postinfectious glomerulonephritis 2220: 1898:International Journal of Urology 1681:Medical Clinics of North America 722: 1857:American Urological Association 1458:New England Journal of Medicine 440:) or certain medications (e.g. 2786:Urine protein/creatinine ratio 1851:Kaplan, Damara; Kohn, Taylor. 1144:Kirkpatrick, Wanda G. (1990), 119:is defined as the presence of 1: 1693:10.1016/S0025-7125(03)00172-X 600:multicystic dysplastic kidney 515:False positive urine dipstick 438:vitamin K deficiency bleeding 157:urinary tract infection (UTI) 1043:), history of chemotherapy ( 1013:Medical emergency: urosepsis 934:glomerular basement membrane 417:Benign prostatic hyperplasia 2281:Template:Glomerular disease 1798:10.1097/JU.0000000000001297 1217:Campbell-Walsh-Wein urology 793:, recent trauma, or recent 789:, recent intense exercise, 405:transitional cell carcinoma 2918: 2575:Components and results of 2370:Balkan endemic nephropathy 1960:10.1016/j.yuro.2013.07.019 1738:10.1016/j.juro.2012.09.078 1575:National Kidney Foundation 957:A 60cc/mL Toomey syringe. 579:Congenital abnormalities: 27:Presence of blood in urine 2405:Renovascular hypertension 2063:American Family Physician 1651:10.1016/j.suc.2016.02.007 1495:: StatPearls Publishing, 1146:"Chapter 184 – Hematuria" 973:Dispose of medical waste. 961:Fill syringe with saline. 731:This section needs to be 673:, and culture-documented 635:Benign familial hematuria 588:posterior urethral valves 349:Polycystic kidney disease 309:Hemolytic uremic syndrome 57: 48: 2781:Albumin/creatinine ratio 2706:Urine electrolyte levels 2506:Renal papillary necrosis 2400:Hypertensive nephropathy 1493:Treasure Island, Florida 1350:. McGraw-Hill Education. 993:acute urinary retention. 967:Instill 180cc of saline. 422:Renal papillary necrosis 413:Urinary tract strictures 370:Urinary tract infections 361:Non-glomerular hematuria 334:Henoch–Schönlein purpura 250:glomerulus of the kidney 165:glomerulus of the kidney 2410:Renal cortical necrosis 1571:"Hematuria in Children" 1068:schistosoma haematobium 783:urinary tract infection 691:microbiological culture 685:), consultation with a 675:urinary tract infection 211:In terms of visibility, 93:Urinary tract infection 2672:Urine specific gravity 2446:Chronic kidney disease 2360:Interstitial nephritis 2317:Acute tubular necrosis 2300:Renal tubular acidosis 980: 774: 620:Coagulation disorders. 449:Mimickers of hematuria 318:streptococcus pyogenes 285:glomerular capillaries 276: 203: 195:Differential diagnosis 2735:Microscopic hematuria 2469:Analgesic nephropathy 2390:Renal artery stenosis 2229:at Wikimedia Commons 1983:Step-up to pediatrics 1470:10.1056/NEJMra1604481 956: 757: 714:Microscopic hematuria 610:renal vein thrombosis 596:urethral diverticulum 316:(group A β-hemolytic 274: 202: 2611:Urine pregnancy test 2474:Renal osteodystrophy 2028:10.1056/NEJMcp012694 1603:(9): 1–13, quiz 14. 1485:"Nephritic Syndrome" 1112:. 23-02: Hematuria. 708:complete blood count 683:red blood cell casts 543:confirms hematuria. 397:renal cell carcinoma 303:Hereditary nephritis 267:Glomerular hematuria 2902:Glomerular diseases 2803:Bence Jones protein 2660:Chemical properties 2441:Acute renal failure 1948:Yearbook of Urology 1522:Hypertension Primer 1422:Stern, Scott D. C. 938:genitourinary tract 434:sickle cell disease 2606:Leukocyte esterase 2532:Reflux nephropathy 2489:Diabetes insipidus 2271:Glomerular disease 2172:External resources 1785:Journal of Urology 1726:Journal of Urology 981: 928:, and in men, the 775: 571:Strenuous exercise 344:Nephrotic syndrome 339:Nephritic syndrome 305:(Alport's disease) 277: 244:, and in men, the 204: 151:, and in men, the 84:Blood in the urine 2879: 2878: 2875: 2874: 2746:White blood cells 2715:Abnormal findings 2542: 2541: 2419:General syndromes 2340:Liddle's syndrome 2335:Gitelman syndrome 2225:Media related to 2217: 2216: 2022:(23): 2330–2338. 1911:10.1111/iju.12200 1532:978-0-7817-8205-0 1226:978-0-323-54642-3 1159:978-0-409-90077-4 1119:978-1-264-26938-9 1057:radiation therapy 1045:alkylating agents 800:urothelial cancer 785:, viral illness, 752: 751: 661:Visible hematuria 647:trait or disease. 592:urethral prolapse 395:Cancers, such as 110: 109: 30:Medical condition 16:(Redirected from 2909: 2776:Microalbuminuria 2719: 2684:Urine osmolality 2569: 2562: 2555: 2546: 2330:Bartter syndrome 2325:Fanconi syndrome 2256: 2249: 2242: 2233: 2224: 2091: 2079: 2078: 2054: 2048: 2047: 2011: 2005: 2004: 1978: 1972: 1971: 1943: 1924: 1923: 1913: 1889: 1872: 1871: 1869: 1868: 1859:. Archived from 1848: 1819: 1818: 1800: 1775: 1750: 1749: 1716: 1705: 1704: 1672: 1663: 1662: 1630: 1621: 1620: 1592: 1586: 1585: 1583: 1582: 1567: 1561: 1560: 1558: 1557: 1551:Cleveland Clinic 1543: 1537: 1536: 1516: 1510: 1509: 1508: 1507: 1480: 1474: 1473: 1453: 1436: 1435: 1419: 1352: 1351: 1343: 1322: 1321: 1320: 1319: 1296: 1253: 1252: 1246: 1238: 1212: 1177: 1176: 1175: 1174: 1141: 1132: 1131: 1105: 1055:), prior pelvic 1053:bladder catheter 912:, including the 896:should be made. 856:high power field 840:high power field 832:high power field 816:high power field 767:urinary cytology 763:light microscopy 747: 744: 738: 726: 725: 718: 700:renal ultrasound 667:high power field 541:high power field 429:Intense exercise 228:, including the 216:high power field 214:blood cells per 189:high power field 135:, including the 53: 33: 21: 2917: 2916: 2912: 2911: 2910: 2908: 2907: 2906: 2882: 2881: 2880: 2871: 2845: 2836:Hyperuricosuria 2813:Small molecules 2807: 2758: 2740: 2723:Red blood cells 2710: 2701:Urine anion gap 2655: 2579: 2573: 2543: 2538: 2457: 2414: 2376: 2346: 2286: 2265: 2260: 2218: 2213: 2212: 2167: 2166: 2102: 2088: 2083: 2082: 2069:(11): 747–754. 2056: 2055: 2051: 2013: 2012: 2008: 1993: 1980: 1979: 1975: 1945: 1944: 1927: 1904:(10): 963–970. 1891: 1890: 1875: 1866: 1864: 1850: 1849: 1822: 1777: 1776: 1753: 1718: 1717: 1708: 1674: 1673: 1666: 1632: 1631: 1624: 1594: 1593: 1589: 1580: 1578: 1569: 1568: 1564: 1555: 1553: 1545: 1544: 1540: 1533: 1518: 1517: 1513: 1505: 1503: 1482: 1481: 1477: 1455: 1454: 1439: 1421: 1420: 1355: 1345: 1344: 1325: 1317: 1315: 1298: 1297: 1256: 1239: 1227: 1214: 1213: 1180: 1172: 1170: 1160: 1143: 1142: 1135: 1120: 1107: 1106: 1085: 1080: 1041:aromatic amines 1024: 1015: 979: 951: 946: 922:urinary bladder 906:pathophysiology 902: 900:Pathophysiology 852:red blood cells 836:red blood cells 828:red blood cells 812:red blood cells 759:Red blood cells 748: 742: 739: 736: 727: 723: 716: 663: 654: 639:Alport syndrome 617:Urinary stones. 575:Acute nephritis 562: 549: 517: 466:Phenazopyridine 456: 451: 409:prostate cancer 407:), and in men, 363: 329:Lupus nephritis 293:IgA nephropathy 269: 238:urinary bladder 197: 145:urinary bladder 125:red blood cells 31: 28: 23: 22: 15: 12: 11: 5: 2915: 2913: 2905: 2904: 2899: 2894: 2884: 2883: 2877: 2876: 2873: 2872: 2870: 2869: 2864: 2859: 2853: 2851: 2847: 2846: 2844: 2843: 2838: 2833: 2828: 2823: 2817: 2815: 2809: 2808: 2806: 2805: 2800: 2798:Hemoglobinuria 2795: 2790: 2789: 2788: 2783: 2768: 2766: 2760: 2759: 2757: 2756: 2754:Eosinophiluria 2750: 2748: 2742: 2741: 2739: 2738: 2727: 2725: 2716: 2712: 2711: 2709: 2708: 2703: 2698: 2693: 2692: 2691: 2689:Hypersthenuria 2681: 2680: 2679: 2669: 2663: 2661: 2657: 2656: 2654: 2653: 2648: 2643: 2638: 2633: 2628: 2623: 2618: 2613: 2608: 2603: 2598: 2593: 2587: 2585: 2581: 2580: 2574: 2572: 2571: 2564: 2557: 2549: 2540: 2539: 2537: 2536: 2535: 2534: 2529: 2524: 2522:Hydronephrosis 2510: 2509: 2508: 2498: 2497: 2496: 2486: 2481: 2476: 2471: 2465: 2463: 2459: 2458: 2456: 2455: 2454: 2453: 2448: 2443: 2433: 2428: 2422: 2420: 2416: 2415: 2413: 2412: 2407: 2402: 2397: 2395:Renal ischemia 2392: 2386: 2384: 2378: 2377: 2375: 2374: 2373: 2372: 2367: 2365:Pyelonephritis 2356: 2354: 2348: 2347: 2345: 2344: 2343: 2342: 2337: 2332: 2327: 2319: 2314: 2313: 2312: 2307: 2296: 2294: 2288: 2287: 2285: 2284: 2275: 2273: 2267: 2266: 2263:Kidney disease 2261: 2259: 2258: 2251: 2244: 2236: 2215: 2214: 2211: 2210: 2199: 2188: 2176: 2175: 2173: 2169: 2168: 2165: 2164: 2153: 2142: 2123: 2103: 2098: 2097: 2095: 2094:Classification 2087: 2086:External links 2084: 2081: 2080: 2049: 2006: 1992:978-1451145809 1991: 1973: 1925: 1873: 1820: 1791:(4): 778–786. 1751: 1706: 1687:(2): 329–343. 1664: 1645:(3): 503–515. 1622: 1587: 1562: 1538: 1531: 1511: 1475: 1464:(2): 153–163. 1437: 1353: 1323: 1254: 1225: 1178: 1158: 1133: 1118: 1082: 1081: 1079: 1076: 1023: 1020: 1014: 1011: 1007:Foley catheter 999:anticoagulants 978: 977: 974: 971: 968: 965: 962: 958: 950: 947: 945: 942: 910:urinary system 901: 898: 779:microhematuria 750: 749: 730: 728: 721: 715: 712: 662: 659: 653: 650: 649: 648: 642: 624: 621: 618: 615: 614: 613: 602: 582:Non-vascular: 577: 572: 569: 561: 558: 548: 545: 537:rhabdomyolysis 521:urine dipstick 516: 513: 512: 511: 506: 501: 496: 493: 484: 483: 478: 473: 471:Nitrofurantoin 468: 455: 452: 450: 447: 446: 445: 442:blood thinners 430: 427: 424: 419: 414: 411: 403:(particularly 401:bladder cancer 393: 388: 374:pyelonephritis 362: 359: 358: 357: 351: 346: 341: 336: 331: 326: 321: 311: 306: 300: 295: 281:red cell casts 268: 265: 261: 260: 253: 226:urinary system 219: 196: 193: 185:urine dipstick 181:rhabdomyolysis 173:urine dipstick 133:urinary system 108: 107: 101:bladder cancer 90: 86: 85: 82: 76: 75: 66: 60: 59: 55: 54: 46: 45: 42: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2914: 2903: 2900: 2898: 2895: 2893: 2890: 2889: 2887: 2868: 2865: 2863: 2860: 2858: 2855: 2854: 2852: 2848: 2842: 2841:Aminoaciduria 2839: 2837: 2834: 2832: 2831:Bilirubinuria 2829: 2827: 2824: 2822: 2819: 2818: 2816: 2814: 2810: 2804: 2801: 2799: 2796: 2794: 2793:Myoglobinuria 2791: 2787: 2784: 2782: 2779: 2778: 2777: 2773: 2770: 2769: 2767: 2765: 2761: 2755: 2752: 2751: 2749: 2747: 2743: 2736: 2732: 2729: 2728: 2726: 2724: 2720: 2717: 2713: 2707: 2704: 2702: 2699: 2697: 2694: 2690: 2687: 2686: 2685: 2682: 2678: 2675: 2674: 2673: 2670: 2668: 2665: 2664: 2662: 2658: 2652: 2651:Urinary casts 2649: 2647: 2644: 2642: 2639: 2637: 2634: 2632: 2629: 2627: 2624: 2622: 2619: 2617: 2616:Ketone bodies 2614: 2612: 2609: 2607: 2604: 2602: 2599: 2597: 2594: 2592: 2589: 2588: 2586: 2582: 2578: 2570: 2565: 2563: 2558: 2556: 2551: 2550: 2547: 2533: 2530: 2528: 2525: 2523: 2520: 2519: 2518: 2514: 2511: 2507: 2504: 2503: 2502: 2501:Renal papilla 2499: 2495: 2492: 2491: 2490: 2487: 2485: 2482: 2480: 2477: 2475: 2472: 2470: 2467: 2466: 2464: 2460: 2452: 2449: 2447: 2444: 2442: 2439: 2438: 2437: 2436:Renal failure 2434: 2432: 2429: 2427: 2424: 2423: 2421: 2417: 2411: 2408: 2406: 2403: 2401: 2398: 2396: 2393: 2391: 2388: 2387: 2385: 2383: 2379: 2371: 2368: 2366: 2363: 2362: 2361: 2358: 2357: 2355: 2353: 2349: 2341: 2338: 2336: 2333: 2331: 2328: 2326: 2323: 2322: 2320: 2318: 2315: 2311: 2308: 2306: 2303: 2302: 2301: 2298: 2297: 2295: 2293: 2289: 2283: 2282: 2277: 2276: 2274: 2272: 2268: 2264: 2257: 2252: 2250: 2245: 2243: 2238: 2237: 2234: 2230: 2228: 2223: 2209: 2205: 2204: 2200: 2198: 2194: 2193: 2189: 2187: 2183: 2182: 2178: 2177: 2174: 2170: 2163: 2159: 2158: 2154: 2152: 2148: 2147: 2143: 2141: 2137: 2133: 2132: 2128: 2124: 2122: 2118: 2114: 2113: 2109: 2105: 2104: 2101: 2096: 2092: 2085: 2076: 2072: 2068: 2064: 2060: 2053: 2050: 2045: 2041: 2037: 2033: 2029: 2025: 2021: 2017: 2010: 2007: 2002: 1998: 1994: 1988: 1984: 1977: 1974: 1969: 1965: 1961: 1957: 1953: 1949: 1942: 1940: 1938: 1936: 1934: 1932: 1930: 1926: 1921: 1917: 1912: 1907: 1903: 1899: 1895: 1888: 1886: 1884: 1882: 1880: 1878: 1874: 1863:on 2019-11-28 1862: 1858: 1854: 1847: 1845: 1843: 1841: 1839: 1837: 1835: 1833: 1831: 1829: 1827: 1825: 1821: 1816: 1812: 1808: 1804: 1799: 1794: 1790: 1786: 1782: 1774: 1772: 1770: 1768: 1766: 1764: 1762: 1760: 1758: 1756: 1752: 1747: 1743: 1739: 1735: 1731: 1727: 1723: 1715: 1713: 1711: 1707: 1702: 1698: 1694: 1690: 1686: 1682: 1678: 1671: 1669: 1665: 1660: 1656: 1652: 1648: 1644: 1640: 1636: 1629: 1627: 1623: 1618: 1614: 1610: 1606: 1602: 1598: 1591: 1588: 1576: 1572: 1566: 1563: 1552: 1548: 1542: 1539: 1534: 1528: 1524: 1523: 1515: 1512: 1502: 1498: 1494: 1490: 1486: 1479: 1476: 1471: 1467: 1463: 1459: 1452: 1450: 1448: 1446: 1444: 1442: 1438: 1433: 1429: 1425: 1418: 1416: 1414: 1412: 1410: 1408: 1406: 1404: 1402: 1400: 1398: 1396: 1394: 1392: 1390: 1388: 1386: 1384: 1382: 1380: 1378: 1376: 1374: 1372: 1370: 1368: 1366: 1364: 1362: 1360: 1358: 1354: 1349: 1342: 1340: 1338: 1336: 1334: 1332: 1330: 1328: 1324: 1314: 1310: 1306: 1302: 1295: 1293: 1291: 1289: 1287: 1285: 1283: 1281: 1279: 1277: 1275: 1273: 1271: 1269: 1267: 1265: 1263: 1261: 1259: 1255: 1250: 1244: 1236: 1232: 1228: 1222: 1218: 1211: 1209: 1207: 1205: 1203: 1201: 1199: 1197: 1195: 1193: 1191: 1189: 1187: 1185: 1183: 1179: 1169: 1165: 1161: 1155: 1151: 1147: 1140: 1138: 1134: 1129: 1125: 1121: 1115: 1111: 1104: 1102: 1100: 1098: 1096: 1094: 1092: 1090: 1088: 1084: 1077: 1075: 1071: 1069: 1065: 1060: 1058: 1054: 1050: 1046: 1042: 1038: 1034: 1030: 1021: 1019: 1012: 1010: 1008: 1003: 1000: 995: 994: 990: 986: 975: 972: 969: 966: 963: 960: 959: 955: 948: 943: 941: 939: 935: 931: 927: 923: 919: 915: 911: 907: 899: 897: 895: 891: 887: 883: 879: 876: 872: 868: 865: 861: 857: 853: 849: 845: 841: 837: 833: 829: 825: 821: 817: 813: 809: 805: 801: 796: 792: 788: 784: 780: 772: 768: 764: 760: 756: 746: 734: 729: 720: 719: 713: 711: 709: 705: 701: 697: 692: 688: 684: 680: 676: 672: 668: 660: 658: 651: 646: 643: 640: 636: 632: 628: 625: 622: 619: 616: 611: 607: 603: 601: 597: 593: 589: 585: 581: 580: 578: 576: 573: 570: 567: 566: 565: 559: 557: 554: 546: 544: 542: 538: 534: 530: 526: 522: 514: 510: 507: 505: 502: 500: 497: 494: 492: 489: 488: 487: 482: 479: 477: 474: 472: 469: 467: 464: 463: 462: 459: 453: 448: 443: 439: 435: 431: 428: 425: 423: 420: 418: 415: 412: 410: 406: 402: 398: 394: 392: 391:Kidney stones 389: 387: 383: 379: 375: 371: 368: 367: 366: 360: 355: 352: 350: 347: 345: 342: 340: 337: 335: 332: 330: 327: 325: 322: 319: 315: 312: 310: 307: 304: 301: 299: 296: 294: 291: 290: 289: 286: 282: 273: 266: 264: 257: 254: 251: 247: 243: 239: 235: 231: 227: 223: 220: 217: 212: 209: 208: 207: 201: 194: 192: 190: 186: 183:. A positive 182: 178: 174: 170: 166: 162: 161:kidney stones 158: 154: 150: 146: 142: 138: 134: 130: 126: 122: 118: 114: 106: 105:kidney cancer 102: 98: 94: 91: 87: 83: 81: 77: 74: 70: 67: 65: 61: 56: 52: 47: 43: 39: 34: 19: 2867:Crystalluria 2730: 2677:Isosthenuria 2626:Urobilinogen 2527:Pyonephrosis 2479:Nephroptosis 2352:Interstitium 2278: 2219: 2201: 2190: 2179: 2155: 2144: 2125: 2106: 2066: 2062: 2052: 2019: 2015: 2009: 1982: 1976: 1951: 1947: 1901: 1897: 1865:. Retrieved 1861:the original 1856: 1788: 1784: 1729: 1725: 1684: 1680: 1642: 1638: 1600: 1596: 1590: 1579:. Retrieved 1577:. 2015-12-24 1574: 1565: 1554:. Retrieved 1550: 1541: 1521: 1514: 1504:, retrieved 1488: 1478: 1461: 1457: 1423: 1347: 1316:, retrieved 1304: 1216: 1171:, retrieved 1149: 1109: 1072: 1064:North Africa 1061: 1037:hydrocarbons 1025: 1022:Epidemiology 1016: 1004: 996: 982: 903: 894:nephrologist 843: 819: 803: 787:kidney stone 776: 740: 732: 687:nephrologist 664: 655: 612:in newborns. 563: 553:menstruation 550: 547:Menstruation 518: 491:Blackberries 485: 460: 457: 364: 317: 278: 262: 255: 221: 210: 205: 169:Menstruation 116: 112: 111: 97:kidney stone 18:Bloody urine 2857:Bacteriuria 2772:Albuminuria 2764:Proteinuria 2577:urine tests 2513:Major calyx 2494:Nephrogenic 2181:MedlinePlus 1301:"Hematuria" 890:nephrologic 694:treatment, 679:proteinuria 645:Sickle cell 560:In children 476:Doxorubicin 454:Pigmenturia 382:prostatitis 41:Other names 2886:Categories 2821:Glycosuria 2667:Urinalysis 2636:Creatinine 2584:Components 2203:Patient UK 2157:DiseasesDB 1867:2019-12-11 1581:2023-03-11 1556:2022-09-12 1506:2022-01-19 1489:StatPearls 1432:1121597721 1318:2022-01-17 1305:StatPearls 1235:1130700336 1173:2022-01-17 1128:1268130534 1078:References 1049:ifosfamide 1029:malignancy 944:Management 886:CT urogram 882:cystoscopy 878:ultrasound 871:cystoscopy 867:ultrasound 860:cystoscopy 848:pack-years 824:pack-years 808:pack-years 795:urological 743:March 2023 704:cystoscopy 696:CT urogram 652:Evaluation 551:In women, 509:Fava beans 495:Food dyes. 481:Rifampicin 386:urethritis 372:, such as 354:Idiopathic 117:haematuria 69:Nephrology 2826:Ketonuria 2731:Hematuria 2631:Bilirubin 2596:Myoglobin 2431:Nephrosis 2426:Nephritis 2227:Hematuria 2208:Hematuria 2192:eMedicine 2036:1533-4406 2001:855779297 1968:0084-4071 1815:220717643 1609:1549-9650 1243:cite book 771:pap stain 533:myoglobin 529:hemolysis 356:hematuria 177:myoglobin 113:Hematuria 64:Specialty 2897:Bleeding 2862:Chyluria 2696:Urine pH 2382:Vascular 2321:Genetic 2305:proximal 2075:24364522 2044:12788998 1920:23714209 1807:32698717 1746:23098784 1701:15049581 1659:27261791 1617:25296518 1501:32965911 1313:30480952 1168:21250137 1033:benzenes 930:prostate 761:seen on 378:cystitis 246:prostate 153:prostate 80:Symptoms 2621:Glucose 2591:Albumin 2292:Tubules 2197:ped/951 2151:D006417 1954:: 1–2. 926:urethra 733:updated 504:Rhubarb 242:urethra 149:urethra 127:in the 73:Urology 2517:pelvis 2451:Uremia 2310:distal 2186:003138 2073:  2042:  2034:  1999:  1989:  1966:  1918:  1813:  1805:  1744:  1699:  1657:  1615:  1607:  1529:  1499:  1430:  1311:  1233:  1223:  1166:  1156:  1126:  1116:  985:anemia 924:, and 918:ureter 914:kidney 791:menses 671:menses 531:, and 384:, and 240:, and 234:ureter 230:kidney 141:ureter 137:kidney 89:Causes 2850:Other 2462:Other 2162:19635 2140:791.2 2136:599.7 1811:S2CID 989:shock 875:renal 864:renal 568:Fever 499:Beets 129:urine 121:blood 2279:See 2146:MeSH 2131:9-CM 2071:PMID 2040:PMID 2032:ISSN 1997:OCLC 1987:ISBN 1964:ISSN 1952:2013 1916:PMID 1803:PMID 1742:PMID 1697:PMID 1655:PMID 1613:PMID 1605:ISSN 1527:ISBN 1497:PMID 1428:OCLC 1309:PMID 1249:link 1231:OCLC 1221:ISBN 1164:PMID 1154:ISBN 1124:OCLC 1114:ISBN 987:and 904:The 884:and 873:and 862:and 854:per 838:per 830:per 814:per 702:and 598:and 525:heme 399:and 2646:WBC 2641:RBC 2601:hCG 2127:ICD 2121:R31 2117:N02 2108:ICD 2024:doi 2020:348 1956:doi 1906:doi 1793:doi 1789:204 1734:doi 1730:188 1689:doi 1647:doi 1466:doi 1462:385 844:any 820:any 804:all 765:on 698:or 681:or 436:or 123:or 115:or 2888:: 2206:: 2195:: 2184:: 2160:: 2149:: 2138:, 2134:: 2119:, 2115:: 2112:10 2067:88 2065:. 2061:. 2038:. 2030:. 2018:. 1995:. 1962:. 1950:. 1928:^ 1914:. 1902:20 1900:. 1896:. 1876:^ 1855:. 1823:^ 1809:. 1801:. 1787:. 1783:. 1754:^ 1740:. 1728:. 1724:. 1709:^ 1695:. 1685:88 1683:. 1679:. 1667:^ 1653:. 1643:96 1641:. 1637:. 1625:^ 1611:. 1601:11 1599:. 1573:. 1549:. 1491:, 1487:, 1460:. 1440:^ 1356:^ 1326:^ 1303:, 1257:^ 1245:}} 1241:{{ 1229:. 1181:^ 1162:, 1136:^ 1122:. 1086:^ 1047:, 1039:, 1035:, 940:. 920:, 916:, 773:). 637:, 633:, 629:, 608:, 594:, 590:, 586:, 519:A 380:, 376:, 236:, 232:, 159:, 147:, 143:, 139:, 103:, 99:, 95:, 71:, 2774:/ 2737:) 2733:( 2568:e 2561:t 2554:v 2515:/ 2255:e 2248:t 2241:v 2129:- 2110:- 2100:D 2077:. 2046:. 2026:: 2003:. 1970:. 1958:: 1922:. 1908:: 1870:. 1817:. 1795:: 1748:. 1736:: 1703:. 1691:: 1661:. 1649:: 1619:. 1584:. 1559:. 1535:. 1472:. 1468:: 1434:. 1251:) 1237:. 1130:. 745:) 741:( 735:. 641:. 444:) 320:) 218:. 20:)

Index

Bloody urine

Specialty
Nephrology
Urology
Symptoms
Urinary tract infection
kidney stone
bladder cancer
kidney cancer
blood
red blood cells
urine
urinary system
kidney
ureter
urinary bladder
urethra
prostate
urinary tract infection (UTI)
kidney stones
glomerulus of the kidney
Menstruation
urine dipstick
myoglobin
rhabdomyolysis
urine dipstick
high power field

high power field

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