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Depending on whether hematuria can be seen by the naked eye, it's called what or what?
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Gross or microscopic
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What's the NORMAL amnt of RBCs in urine?
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2 million rbc/day...or 2-3 RBCs/high power field
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What % of pts with hematuria have an underlying malig?
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10%
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6 categories of hematuria causes?
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Kidney, ureter, bladder, prostate/male repro tract, urethra, systemic illness/other
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Causes of hematuria from kidney?
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Infection (pyelonephritis, tuberculosis, parasites)
nephrolithiasis malig (renal cell ca) trauma glomerular disease (vasculitis, idiopathic) cysts (single and polycistic disease) allergic interstitial nephritis (drug induced) ischemia (embolism, thromboiss, papillary necrosis) |
Causes of hematuria from ureter?
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Nephrolithiasis
tumor endometriosis |
Causes of hematuria from bladder?
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Infection (bacterial cystitis, parasites)
Calculus Intersitial cystitis tumor vascular malformations (hemangiomas, telangiectasias) endometriosis drugs (eg: hemorrhgic cystitis from cyclophosphamide) |
Prostate/male repro tract causes of hematuria?
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Infection (prostatitis, epididymitis), BPH, tumor
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Causes of hematuria from urethra?
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Urethritis (gonoccocal or nongonococcal), stricture, calculus, trauma
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Systemic illness/other causes of hematuria?
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Intense exercise, coagulopathy, thrombocytopenia, hemoglobinopathy
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Top 4 overall causes of hematuria?
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Renal infection (pyelonephritis, tuberlosis, parasites)
Nephrolithiasis Bladder calculus Intense exercise |
If pt has hematuria, which 6 symtpoms should you also ask about to help you guide your dx?
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Flank pain
Dysuria Urethral discharge weight loss fever nocturia |
Why ask about flank pain?
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Pyelonephritis, nephrolithiasis, neoplasms, ischemia, glomerulonephritis, hemorrhagic cyst
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Why ask about dysuria?
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Cystitis, pyelonephritis, prostatits, BPH, urethritis
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Why ask about urethra discharge?
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Urethritis
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