1. Hematuria An article on what blood in the urine may mean. Tips on when to seek advice. http://www.camsociety.org/issues/Hematuria.htm

Hematuria Blood in the urine may be the only sign of a serious disease, either in the kidneys or in the bladder. There are two kidneys. They are located in the back, just below the ribs, one on the left and one on the right. The kidneys filter the blood and draw out water and chemicals that the body does not need. They save what useful in the body such as the blood cells and valuable chemicals. The water and waste chemicals are called urine. This fluid passes down tubes called the ureters until they reach the bladder. The bladder is a muscular sac which holds the urine until it is convenient to empty it or to void. The last tube leading to the outside is called the urethra. In the man it is long and has several parts. In the woman it is a much shorter and simple tube. Blood in the urine can come from any place in the urinary tract, from the kidney, ureter, the bladder or the urethra. While in many cases it is not due to a serious problem, in some it is the only sign of dangerous tumors or stones. Early investigation of blood in the urine is the only way to cure serious tumors without need for major surgery. Tumors in the urinary tract usually grow in the lining of the bladder. At first they are like a delicate plant; its branches are small and its roots are very shallow. At this stage it is easy to cure. As it grows it needs more blood and the roots grow stronger and deeper. Then the treatment becomes more difficult and less successful. Later when the roots grow out of the bladder or the kidney, the roots spread to other parts of the body and kill you.

2. Hematuria hematuria from Hemat = blood and uria = of urine. hematuria simply means blood in the urine. Microscopic hematuria means that the blood is only http://www.associatedurologists.com/hematuria.html

Hematuria - Blood in the urine (male patients) The Problem Anatomy Causes Evaluation ... Follow-Up THE PROBLEM Hematuria: from Hemat = blood and uria = of urine Hematuria simply means blood in the urine. Microscopic hematuria means that the blood is only seen when the urine is examined under a microscope. Gross hematuria, on the other hand, means that there is enough blood in the urine so that the change can be appreciated with the naked eye. Obviously, gross hematuria has more blood in the urine than microscopic hematuria, but the types of diagnoses that can cause the problem are the same and the work-up or evaluation that is needed is identical. ANATOMY To understand the needed evaluation for hematuria, one must know the anatomy of the urinary tract in the male. A diagram of the urinary tract may be provided so that the explanation makes better sense. The kidneys function to make urine by filtering the blood and discarding into the urine the waste products that are no longer needed. Water and salts accompany these waste products by necessity. The urine is then transported through two narrow tubes, called ureters, to the bladder, which is the reservoir for urine in between each void. The urine exits the bladder through a channel called the urethra that first passes through the prostate and then through the penis to the outside. The blood in the urine must come from one of the above places: kidneys, ureters, bladder, prostate, or urethra. The evaluation requires that we look at the ENTIRE urinary tract in patients with hematuria.

3. Digital Urology Journal: Hematuria hematuria. hematuria refers to the excretion of abnormal quantities of Red Blood Cells (RBCs) into the urine urine it is called "gross hematuria". When blood is visible only under http://www.duj.com/hematuria.html

HEMATURIA Hematuria refers to the excretion of abnormal quantities of Red Blood Cells (RBCs) into the urine. Some experts believe that any amount of RBCs in the urine seen on more than one occasion is significant. Others feel that one must have at least 2-3 RBCs seen under the microscope in order to be significant. (A small percentage of the normal population will excrete greater than 3 RBCs under the microscope.) When blood is visible with the naked eye as pink or red in the urine it is called "gross hematuria". When blood is visible only under the microscope it is called "microscopic hematuria". Evaluation Unless there is a known cause for hematuria, it must be thoroughly evaluated. The purpose of thorough evaluation is to be certain that there is not a serious reason causing the hematuria. The routine proper evaluation for someone with hematuria includes an Intravenous Pyelogram (IVP) and cystoscopy. An IVP is an x-ray which is done in order to evaluate the kidneys and ureters (tubes from kidneys to the bladder). It involves an injection of a special chemical called a "contrast agents" which helps visualize the urinary tract. Occasionally, a patient may be allergic to contrast and an alternative imaging method must be used. Cystoscopy refers to the process of looking directly into the bladder optically with a scope. At times your physician may wish to put you to sleep for this procedure, but more frequently it is done while awake. Current optical technology permits the use of very small and refined instruments for this examination. Unfortunately, the only truly effective way to evaluate the bladder for hematuria is through direct vision.

4. Hematuria - Urologychannel hematuria is a clinical term referring to the presence of blood in the urine. Incidence hematuria occurs in up to 10% of the general population. Causes. http://www.urologychannel.com/hematuria/index.shtml

Home Search SiteMap Ask the Dr. ... Medical Store advertisement HEMATURIA Overview Types Causes Symptoms ... Find a Urologist CONDITIONS Adrenal Cancer Bladder Cancer Bladder Control Problems BPH/Enlarged Prostate Emergencies Erectile Dysfunction Female Sexual Dysfunction Hematuria Incontinence Interstitial Cystitis Kidney Cancer ... Testosterone Deficiency Upper Tract Tumors Urethral Cancer Urinary Tract Infection Varicocele Vasectomy RESOURCES urologychannelMD Anatomy Clinical Trials Education ... What Is a Urologist? Videos ABOUT US Healthcommunities.com Pressroom Testimonials print this ... email this Overview Hematuria is the presence of blood, specifically red blood cells, in the urine. Whether the blood is visible only under a microscope or visible to the naked eye, hematuria is a sign that something is causing bleeding in the genitourinary tract: the kidneys, the tubes that carry urine from the kidneys to the bladder (ureters), the prostate gland (in men), the bladder, or the tube that carries urine from the bladder out of the body (urethra). Bleeding may happen once or it may be recurrent. It can indicate different problems in men and women. Causes of this condition range from non–life threatening (e.g., urinary tract infection) to serious (e.g., cancer, kidney disease). Therefore, a physician should be consulted as soon as possible. Types There are two types of hematuria, microscopic and gross (or macroscopic). In

5. Hematuria - Urologychannel hematuria is a clinical term referring to the presence of blood in the urine. At any point that blood is noticed in the urine, you should contact your physician immediately, even if there are no http://www.urologychannel.com/Hematuria/index.shtml

Home Search SiteMap Ask the Dr. ... Medical Store advertisement HEMATURIA Overview Types Causes Symptoms ... Find a Urologist CONDITIONS Adrenal Cancer Bladder Cancer Bladder Control Problems BPH/Enlarged Prostate Emergencies Erectile Dysfunction Female Sexual Dysfunction Hematuria Incontinence Interstitial Cystitis Kidney Cancer ... Testosterone Deficiency Upper Tract Tumors Urethral Cancer Urinary Tract Infection Varicocele Vasectomy RESOURCES urologychannelMD Anatomy Clinical Trials Education ... What Is a Urologist? Videos ABOUT US Healthcommunities.com Pressroom Testimonials Overview Hematuria is the presence of blood, specifically red blood cells, in the urine. Whether the blood is visible only under a microscope or visible to the naked eye, hematuria is a sign that something is causing bleeding in the genitourinary tract: the kidneys, the tubes that carry urine from the kidneys to the bladder (ureters), the prostate gland (in men), the bladder, or the tube that carries urine from the bladder out of the body (urethra). Bleeding may happen once or it may be recurrent. It can indicate different problems in men and women. Causes of this condition range from non–life threatening (e.g., urinary tract infection) to serious (e.g., cancer, kidney disease). Therefore, a physician should be consulted as soon as possible. Types There are two types of hematuria, microscopic and gross (or macroscopic). In

6. Hematuria - DrGreene.com Read an article explaining the symptoms and treatment of various causes of blood in the urine. Who gets it? Children can have hematuria for many different reasons Other types of kidney disease can cause hematuria, as can trauma or vigorous exercise http://www.drgreene.com/21_1108.html

QUICK SEARCH A - Z Guide Allergies Allergy Care Guide Asthma Care Guide Bedwetting Breastfeeding Childhood Obesity Diabetes Care Guide Ear Infections Genetics Immunizations Infectious Diseases Parenting Potty Training Rashes Safety Sleep About DrGreene.com Archives About Us Context Reviews Awards Readers Comments Press Room Partners and Supporters Topic Centers Contact Us Pediatric Information A-Z Guide Allergy Care Guide Asthma Care Guide Diabetes Care Guide Discussion Boards DrGreene´s Chats DrGreene´s Event Schedule FAQ Fast Facts Feature Articles Guidelines Pediatric Updates Special Feature Top Tips Community Activty Guide Advanced Search Community Central Chat Chat Schedule Cute Faces Discussion Boards Family Friendly Recipes Parent-to-Parent Resources The DrGreene Team Newsletter Prenatal Newborn Infants Toddlers Pre-Schoolers School Age Teens / Adolescents Multimedia Library Fertility Children's Health Hematuria Related concepts: Blood in the urine, Gross Hematuria, Microscopic hematuria Introduction: Even though blood in the urine often turns out not to be a problem, its appearance can be frightening to parents What is it?

7. Enfoque Diagnótico De La Hematuria Gu­a de diagn³stico dirigida a m©dicos. http://med.unne.edu.ar/revista/revista101/enfoque_diag_hematuria.htm

ENFOQUE DIAGNOSTICO DE LA HEMATURIA Resumiendo, existe dos clases de hematuria: Hematuria Hemoglobinuria: Pseudohematuria: Mioglobinuria: Uretrorragia: De origen renal De origen ureteral HEMATURIA: De origen vesical De origen general, extraurinario Causas ureterales Causas vesicales Causas extrarrenales de hematuria Interrogatorio: Prueba de los tres vasos de Guyon: a) b) c) Laboratorio: Biopsia: Resumen: 1. No todas las hematurias son de causa urinaria. BIBIOGRAFIA: Volver al Indice

8. SIERE (Sistema De Información Sobre Enfermedades Raras En Español) Comentarios y enlaces al MedLine. http://cisat.isciii.es/er/prg/er_bus2.asp?cod_enf=1215

9. El Nuevo Diario -- Hematuria Traumática Art­culo m©dico dirigido al pºblico sobre el sangrado urinario despu©s de un traumatismo. http://www.elnuevodiario.com.ni/archivo/1998/noviembre/15-noviembre-1998/varieda

Portada Archivo Busqueda 15 de Noviembre de 1998 Managua, Nicaragua Muy grave cuando se presentan hemorragias, daño e infecciones del parenquina renal Hematuria traumática Managua El oxígeno es muy importante para las necesidades de su cuerpo. Es bueno recordar que ejercicio significa permanecer activo; pero antes que todo es bueno prevenirse de muchas enfermedades y accidentes. La hematuria traumática o sea presencia de sangre en la orina después de un accidente o golpe es relativamente corriente en áreas de trabajo de riesgo y en los deportes de contacto. Aunque el riñón está bien protegido por la musculatura superpuesta, las costillas y otras vísceras, un traumatismo cerrado puede distribuir suficiente fuerza para producir desgarro microscópicos y macroscópicos en el parenquima renal o en los sistemas colectores. Los riñones tienen cierta movilidad, pero las adherencias ligamentosas fijas funcionan como puntos de enclaje en los que se pueden producir desgarro del parénquima. Estas lesiones revisten cierta gravedad, debido a su propensión a las HEMORRAGIAS EXTRAVASACION DE ORINA Y DAÑO E INFECCION DEL PARENQUIMA RENAL. Las secuelas del traumatismo renal pueden ser HIPERTENSION (presión muy alta) y disfunción renal. De mucha importancia es la evaluación inicial del estado clínico general de la persona para determinar el alcance de la hemorragia. Además hay que tener en cuenta otras lesiones, que podrían resultar prioritarias para el tratamiento. Una vez solucionados estos aspectos, el médico se puede concentrar en determinar la localización y el alcance de la lesión renal y otras muchas complicaciones que el paciente pueda presentar.

10. Hematuria Back to table of contents. hematuria. Case. A four yearold African Ameraican male is brought to your office after his parents noticed that his urine appeared dark brown or coke colored. Important questions to ask in your History Check immediate family members for hematuria. Ca++/Cr. on spot urine Asymptomatic Urinary Abnormalities hematuria and Proteinuria. Medical Clinics of North America http://pedclerk.bsd.uchicago.edu/hematuria.html

Back to table of contents Hematuria Case A four year-old African Ameraican male is brought to your office after his parents noticed that his urine appeared dark brown or coke colored. Important questions to ask in your History Has there been any signs of a UTI such as dysuria and frequency? Any suprapubic pain? Has there been any recent URI symptoms or sore throat? Has there been any type of skin rashes or sores? Any abdominal pain or colicky pain? Are the stools loose or bloody? Has there been any recent trauma? Has there been any joint pains or swellings? Is there any history of sickle cell disease or trait? Is there any family history of renal disease, transplants, or dialysis? Is there a family history of hearing deficits? What medications does the child take? According to the parents, the child was treated with Bacitracin 2 weeks ago for impetigo on the legs and arms? Important areas to check on the physical exam Blood Pressure Check for edema, especially around the eyes Careful inspection of the external genitalia Look for any rashes, evidence of trauma and bruising, petechiae

11. Virtual Hospital: University Of Iowa Family Practice Handbook, Fourth Edition: N For Providers. University of Iowa Family Practice Handbook, Fourth Edition, Chapter 8. Nephrology and Urology hematuria. Sudha Rajavel, MD and Rosanna YukKuen Kao, MD, PhD. Department of Family Medicine Review Status Externally Peer Reviewed by Mosby. Definition. hematuria is defined as 3 to 5 RBC/HPF on the population studied. hematuria in the anticoagulated patient has the same http://www.vh.org/adult/provider/familymedicine/FPHandbook/Chapter08/07-8.html

For Providers University of Iowa Family Practice Handbook, Fourth Edition, Chapter 8 Nephrology and Urology: Hematuria Sudha Rajavel, MD and Rosanna Yuk-Kuen Kao, MD, PhD Department of Family Medicine University of Iowa Hospitals and Clinics and College of Medicine Peer Review Status: Externally Peer Reviewed by Mosby Definition Hematuria Cause If dipstick is positive for blood but microscopic exam is negative for cells, consider hemoglobinuria or myoglobinuria. Evaluation (for trauma-related hematuria, see Chapter 2 History and physical exam . May provide evidence to indicate cause. Laboratory and radiologic investigation. Urinalysis and renal function tests Different strategies. The following strategy has been suggested by Black and colleagues (Black ER et al, editors: Diagnostic strategies for common medical problems, Philadelphia, 1999, American College of Physicians): All patients over 50 years of age or with risk factors for urologic malignancy (smoking; dye exposure; chemical, textile, leather, or rubber industry work; cyclophosphamide history; use of phenacetin-containing products) or individuals with history consistent with a significant underlying cause (weight loss, fevers, etc.) should be evaluated with urine cytologic analysis, IVP, and cystoscopy. Other authors argue for a full work-up of all patients with hematuria.

12. Georgia Urology - Hematuria hematuria. hematuria (bloody urine warrants urologic investigation. (Table 1) Table 1, The Most Common Causes of hematuria by Age and Sex http://www.urologychannel.com/urology/georgiaurology/hematuria.shtml

HEMATURIA Hematuria (bloody urine) is a common sign and symptom that may be encountered by any person regardless of age (Table 1). It is a danger signal that cannot be ignored. The passage of blood-stained urine may be the first sign of serious disease in the urinary tract, and a single episode of hematuria warrants urologic investigation. (Table 1) Table 1, The Most Common Causes of Hematuria by Age and Sex 0-20 Years Acute glomerulonephritis Acute urinary tract infection Congential urinary tract anomalies with obstruction 20-40 Years Acute urinary tract infection Stones Bladder tumor 40-60 Years (males) Bladder tumor Stones Acute urinary tract infection 40-60 Years (females) Acute urinary tract infection Stones Bladder tumor 60 Years (males) Benign prostatic hyperplasia Bladder tumor Acute urinary tract infection 60 Years (females) Bladder tumor Acute urinary tract infection Classification of Hematuria It is helpful to classify hematuria in two ways: first by quantity and second by the time of its appearance during voiding. Gross hematuria is evident to the naked eye and microscopic is demonstrable under the microscope. The degree of hematuria (micoscopic vs gross hematuria) does not correlate with seriousiness of the disease (i.e. tumor).

13. Hematuria Gu­a para el manejo y diagn³stico en el servicio de urgencias. http://www.fepafem.org/guias/6.6.html

14. 75 Year-old Female With Post-operative Hematuria Julia R. Fielding, MD Brigham and Women s Hospital, Harvard Medical School Boston, Massachusetts, 75 Yearold Female with Post-operative hematuria. http://www.duj.com/AUR/AUR3.html

Julia R. Fielding, M.D. Brigham and Women's Hospital, Harvard Medical School Boston, Massachusetts 75 Year-old Female with Post-operative Hematuria This 75 year-old woman underwent a femoral-femoral arterial bypass procedure and developed post-operative hematuria. A retrograde cystogram was performed. Following instillation of 250 cc of water soluble contrast, a right posterior oblique (Figure 1) and lateral view (Figure 2) demonstrate the pertinent findings. The diagnosis was extraperitoneal bladder rupture secondary to inadvertent passage of the arterial bypass graft through the bladder. Both bladder and graft were surgically repaired. Return to Adult Uroradiology Rounds

15. Hematuria Comentarios para el paciente sobre su padecimiento y los cuidados m©dicos necesarios. http://www.buenasalud.com/lib/ShowDoc.cfm?LibDocID=2522&ReturnCatID=11

16. Connecticut Children's Medical Center: Nephrology Provides primary and consultative services to patients with a variety of renal disorders including hematuria, proteinuria, nephrotic syndrome, acute renal failure, recurrent urinary tract infection, congenital renal anomalies including hydronephrosis and cystic diseases of the kidneys, kidney stones, chronic renal failure, end stage renal disease, hypertension, and a variety of fluid and electrolytes disorders. http://www.ccmckids.org/departments/neph.htm

Staff Office Locations The Division provides primary and consultative services to patients with a variety of renal disorders including hematuria, proteinuria, nephrotic syndrome, acute renal failure, recurrent urinary tract infection, congenital renal anomalies including hydronephrosis and cystic diseases of the kidneys, kidney stones, chronic renal failure, end stage renal disease, hypertension, and a variety of fluid and electrolytes disorders. In collaboration with Hartford Hospital's dialysis and transplant program, the Nephrology Division provides acute and chronic peritoneal and hemodialysis as well as renal transplantation. Staff Majid Rasoulpour, M.D. - Director mrasoul@ccmckids.org University of Tehran, 66 University of Tehran, 70, M.D. Internship/Residency: Lawrence General Hospital (MA), Rotating, 73-74; University of Connecticut, Pediatrics, 74-76; Fellowship: University of Connecticut, Pediatric Nephrology, 76-78 Board Certification: Pediatrics, 78; Pediatric Nephrology, 82

17. Hematuria (Blood In The Urine) hematuria (Blood in the Urine). hematuria is the presence of red blood cells (RBCs) in the urine. Top. Additional Information on hematuria. http://kidney.niddk.nih.gov/kudiseases/pubs/hematuria/

Email To A Friend Home : Hematuria (Blood in the Urine) Hematuria (Blood in the Urine) Hematuria is the presence of red blood cells (RBCs) in the urine. In microscopic hematuria, the urine appears normal to the naked eye, but examination under a microscope shows a high number of RBCs. Gross hematuria can be seen with the naked eyethe urine is red or the color of cola. Several conditions can cause hematuria, most of them not serious. For example, exercise may cause hematuria that goes away in 24 hours. Many people have hematuria without any other related problems. Often no specific cause can be found. But because hematuria may be the result of a tumor or other serious problem, a doctor should be consulted. To find the cause of hematuria, or to rule out certain causes, the doctor may order a series of tests, including urinalysis, blood tests, intravenous pyelogram, and cystoscopic examination. Urinalysis is the examination of urine for various cells and chemicals. In addition to finding RBCs, the doctor may find white blood cells that signal a urinary tract infection or casts (groups of cells molded together in the shape of the kidneys' tiny filtering tubes) that signal kidney disease. Excessive protein in the urine also signals kidney disease. Blood tests may reveal kidney disease if the blood contains high levels of wastes that the kidneys are supposed to remove.

18. Las Enfermedades - Preguntas Y Respuestas - Diccionario Medico Online -Directori enfermedades, enfermedad, diccionario online, directorio de enfermedades gratis en espa±ol, espanol, diccionario medico de medicina y salud, sintomas, sintoma, tratamiento, tratamientos, Versi³n Imprimible ». hematuria. ULTIMOS ARTICULOS Llamadas de Tel©fono V­a Sat©lite. hematuria. hematuria ( Patolog­a) Presencia de sangre en la orina http://www.lasenfermedades.com/index.php?op=view&t=796

19. Free Online CME: Hematuria hematuria. Give the definition of microscopic hematuria; Describe how analysis of urinary sediment can suggest glomerular disease; http://www.clevelandclinicmeded.com/decisionmaking/hematuria/intro1.asp

Send this activity to a colleague HEMATURIA Lesson Release Date: 02/20/03 Lesson Expiration Date: 02/20/05 Target Audience: Directed to primary care physicians including family practitioners and internists. Objectives After completing this case, the participant should be able to: Give the definition of microscopic hematuria Describe how analysis of urinary sediment can suggest glomerular disease Demonstrate how to evaluate the patient with hematuria Explain the differential diagnosis of hereditary hematuria Recognize a diagnosis of Alport's syndrome Summarize the implications of, and treatment for, IgA nephropathy Lesson Design Each lesson within the Clinical Decisions series includes an interactive case, supporting educational materials from leading medical journals and national practice guidelines, a CME test and an evaluation. Throughout the interactive case, you may proceed to the next question once you answer each question correctly. In addition to allowing you to proceed, the correct answer also reveals the rationale for the answer.

20. Hematuria - Nephrologychannel hematuria is the presence of blood, specifically red blood cells, in the urine a microscope or visible to the naked eye, hematuria is a sign that something is causing bleeding http://www.nephrologychannel.com/hematuria

Home Search SiteMap Ask the Dr. ... Medical Store advertisement advertisement HEMATURIA Overview Types Causes Symptoms ... Treatment CONDITIONS Acute Glomerulonephritis (AGN) Acute Interstitial Nephritis (AIN) Acute Renal Failure (ARF) Acute Tubular Necrosis (ATN) Anemia Chronic Renal Failure Diabetic Nephropathy Hematuria ... Nephrotic Syndrome (NS) Polycystic Kidney Disease Microalbuminuria Renal Artery Stenosis (RAS) Renal Vascular Hypertension (RVH) TREATMENT OPTIONS Hemodialysis Peritoneal Dialysis Kidney Transplant RELATED CONDITIONS Electrolyte Imbalance Hemolytic Uremic Syndrome (HUS) Thrombotic Thrombocytopenic Purpura (TTP) RESOURCES Anatomy Links Clinical Trials Videos ... What Is a Nephrologist? ABOUT US Healthcommunities.com Pressroom Testimonial Bibliography Overview Hematuria is the presence of blood, specifically red blood cells, in the urine. Whether the blood is visible only under a microscope or visible to the naked eye, hematuria is a sign that something is causing bleeding in the genitourinary tract: the kidneys, the tubes that carry urine from the kidneys to the bladder (ureters), the prostate gland (in men), the bladder, or the tube that carries urine from the bladder out of the body (urethra). Bleeding may happen once or it may be recurrent. It can indicate different problems in men and women. Causes of this condition range from non–life threatening (e.g., urinary tract infection) to serious (e.g., cancer, kidney disease). Therefore, a physician should be consulted as soon as possible.

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