Lecture 2 Flashcards
1
Q
What is the most common pigment
A
Hemoglobin
2
Q
Ddx for macroscopic blood
A
Systemic coagulopathy
Lower urinary tract
Upper urinary tract (rare)
3
Q
DDX for macroscopic pigmenturia
A
Systemic (hemolysis, severe muscle trauma, hepatic disease)
Other pigment (drugs, food dyes/colorings)
4
Q
Hematuria with dysuria/stranguria
A
Lower urinary tract!!
Cystitis, urolithiasis, prostatitis, BPH, neoplasia, trauma
5
Q
Hematuria without dysuria
A
Must be upper urinary tract or systemic
Neoplasia, trauma, heat stroke, coagulopathy
6
Q
If there is blood at the beginning of urination or independent of urination, what does that mean?
A
Localizes lesion distal to bladder
7
Q
Ddx for hemoglobinuria
A
IMHA DIC Heat stroke Caval syndrome Other causes of hemolysis
