Haematuria Flashcards
How is haematuria diagnosed?
Presence of 5 or more RBCs per high power field in 3/3 consecutive centrifuged specimens obtained at least 1 week apart
How much blood to be visible?
1ml per 100ml urine
Red contaimination of urine
Menstrual Food (beetroot, blackberries, rhubarb) Mb (rhabdomyolysis) Drugs (chloroquine, rifampicin, nitrofurantoin) Toxins (lead/mercury poisoning)
Brown contamination of urine
Urobilinogen - haemolysis, jaundice, liver dysfunction
Porphyria
2 cancers in kidney
Renal cell cancer (parenchyma)
Transitional cell caner (collecting system)
Sport (jogger’s haematuria)
renal/bladder trauma due to contact sports
vasoconstriction of renal vessels (hypoxic nephron damage)
Young, happens every time they run, goes away in a few days
Decompression haematuria
If bladder drained too quickly after urinary retention - breaks BVs
Fresh red blood vs. dark red blood with clots
Fresh: new
Dark: old
Vermiform clots
Wormlike - narrow diameter of ureter = UUT