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Topic: Microscopic Hematuria
Definition: Presence of red
blood cells in urine
Possible causes of Hematuria:
- Pre-Renal
- Coagulopathies - TTP, Hemophilia
- Wilm's Tumor
- Sickle Cell Disease
- Collagen Vascular Disease and Vasculitis
- Renal
- Nonglomerular
- Pyelonephritis
- AVMs
- Neoplasms
- Tuberculosis
- Polycystic Kidney
- Glomerular
- Alport's Syndrome
- Berger's Disease
- Lupus Nephritis
- Benign familial hematuria
- AVMs
- Vasculitits
- Glomerulonephritis
- Post Renal
- Renal Stones
- Neoplasms
- Uretrhritis
- Cystitis
- BPH/prostatitis
- Eididymititis
- False Positives
- Vaginal bleeding
- Hemoglobinuria
- Foods - beets, black berries, fava beens, rhubarb
- Medications - quinidine, dilantin, rifamipin, sulfasalazine,
phenanzopyridine, phenothiazine
- Porphyrins
- Physiologic Causes - Exercise, fever, trauma
Possible work up modalities:
- IVP
- Renal Ultrasound
- Cystoscopy
- Sickle Cell testing - including r/o sickle cell trait
- 24hour urine for uric acid and calcium
- CBC
- Urine cytology - to evaluate for transitional cell CA
- Sedimentation Rate
- PPD
- Coagulation testing
- BMP
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